NARESH KUMAR AHUJA MD
NPI 1013174598
Surgery in Mount Vernon, IL

Q: What is Naresh Ahuja's NPI number?

The NPI number for Naresh Ahuja is 1013174598. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Q: What is Naresh Ahuja's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Naresh Ahuja was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment

4230 LINCOLNSHIRE DR STE A, MOUNT VERNON, IL 62864(618) 315-6466(618) 315-6469 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2026, Jul 6, 2026, Oct 26, 2022 and 1 more (4 updates tracked since 2020).

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About Naresh Kumar Ahuja Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NARESH KUMAR AHUJA MD (NPI 1013174598) is an individual surgery provider in Mount Vernon, Illinois, licensed in Illinois (036124910) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains a secondary practice location in Herrin.

NPPES Registry Identity

NPI1013174598

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameNARESH KUMAR AHUJACredential: MD

Location Address4230 LINCOLNSHIRE DR STE AMount Vernon, IL 62864-2189

Mailing AddressPo Box 675Mount Vernon, IL 62864-0014 · (618) 315-6466 · Fax (618) 315-6469

Phone(618) 315-6466

Fax(618) 315-6469

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateMay 21, 2008

Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1013174598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in IL · 036124910✔ Licensed in PA · MD434356

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4230 LINCOLNSHIRE DR STE A, Mount Vernon, IL 62864

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Secondary Practice Location 1

Location 1404 Lincoln DrHerrin, IL 62948-3789 · Phone (618) 993-0056 · Fax (618) 993-0752

Other Identifiers 3

Other721089IL · Aetna

Other3932056IL · Bcbs

Medicaid036124910IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Naresh Kumar Ahuja Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830263870

PECOS Enrollment IDI20100720000005

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Naresh Ahuja reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ahuja Bariatric & Beyond

Same address

Surgery

4230 LINCOLNSHIRE DR STE A
Mount Vernon, IL 62864

Reassigned Medicare billing, Illinois enrollment
6 clinicians in this Medicare group

NPI 1053043885 (618) 315-6466

Physician Services Corporation Of Southern Illinois Inc.

Same address

Internal Medicine

4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864

Reassigned Medicare billing, Illinois enrollment
296 clinicians in this Medicare group

NPI 1831101807 (618) 899-3600

St. Mary's Hospital, Centralia, Illinois

17 mi

Anesthesiology

400 N PLEASANT AVE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: St Marys Hospital Centralia Illinois
392 clinicians in this Medicare group

NPI 1477097871 (618) 436-6056

Southern Illinois Medical Services, Nfp

43 mi

Internal Medicine

1239 E MAIN ST
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
702 clinicians in this Medicare group

NPI 1770656837 (618) 457-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

66 services66 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

64 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

62 services52 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services26 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

29 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services29 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140210

Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHUJA BARIATRIC & BEYOND

Surgery

4230 LINCOLNSHIRE DR STE A
MOUNT VERNON, IL 62864

Jefferson County (618) 315-6466

FAIRVIEW HEIGHTS MEDICAL GROUP SC

Pediatrics (Pediatric Cardiology)

4230 LINCOLNSHIRE DR STE A
MOUNT VERNON, IL 62864

Jefferson County (618) 241-1833

RENO KUMARI AHUJA MD

Psychiatry & Neurology (Psychiatry)

4230 LINCOLNSHIRE DR STE A
MOUNT VERNON, IL 62864

Jefferson County (618) 315-6466

ANGELA JANE ARCURI FNP

Nurse Practitioner (Family)

4230 LINCOLNSHIRE DR STE A
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Naresh Ahuja's NPI number?

The NPI number for Naresh Ahuja is 1013174598. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Naresh Ahuja located?

Naresh Ahuja practices at 4230 Lincolnshire Dr Ste A, Mount Vernon, IL 62864. The listed phone number is (618) 315-6466.

What is Naresh Ahuja's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Naresh Ahuja enrolled in Medicare?

Yes. Naresh Ahuja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Naresh Ahuja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naresh Ahuja reassigns Medicare benefits to 4 organizations: Ahuja Bariatric & Beyond (Mount Vernon, IL), Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, IL), St. Mary's Hospital, Centralia, Illinois (Centralia, IL) and Southern Illinois Medical Services, Nfp (Carbondale, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Naresh Ahuja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Naresh Ahuja accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Naresh Ahuja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Naresh Ahuja affiliated with any hospitals?

According to CMS data, Naresh Ahuja is affiliated with Herrin Hospital, Good Samaritan Regional Hlth Center, Memorial Hospital Of Carbondale, Sarah Bush Lincoln Health Center and Harrisburg Medical Center.

When was this NPI record last updated?

The NPPES record for Naresh Ahuja was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.