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DOUGLAS AHN, M.D., P.L.L.C.
NPI 1104018191
Family Medicine in Utica, NY

Active since August 14, 2007
122 BUSINESS PARK DR, SUITE 1, UTICA, NY 13502(315) 738-7883(315) 738-0347 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Douglas Ahn, M.d., P.l.l.c. NPPES

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

DOUGLAS AHN, M.D., P.L.L.C. (NPI 1104018191) is a healthcare organization registered as a family medicine in Utica, New York and active in the NPI registry since August 2007. The organization lists Douglas Ahn, President, as its authorized official.

NPPES Registry Identity

NPI1104018191
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOUGLAS AHN, M.D., P.L.L.C.
Location Address122 BUSINESS PARK DR, SUITE 1Utica, NY 13502-6321
Mailing Address122 Business Park Dr, Suite 1Utica, NY 13502-6321 · (315) 738-7883 · Fax (315) 738-0347
Phone(315) 738-7883
Fax(315) 738-0347
Organization SubpartNo
Authorized OfficialDouglas AhnPresident · (315) 738-7883
Enumeration DateAugust 14, 2007
Last NPPES UpdateSeptember 26, 2012
✔ NPI 1104018191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 229831
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
122 BUSINESS PARK DR, Utica, NY 13502
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Other Identifiers 3

Medicare PINRA1301NY
Medicaid02614184NY
Medicare UPINI03296NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Ahn, M.d., P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Douglas Ahn, M.D., P.L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Douglas Ahn, M.D.
Family Practice
NPI 1609934025
6 RHOADS DR.
Utica, NY 13502
(315) 738-7883
✔ PECOS✔ Accepts Medicare0.1 mi

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

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 Douglas Ahn, M.D., P.L.L.C.'s NPI number?

The NPI number for Douglas Ahn, M.D., P.L.L.C. is 1104018191. It was assigned to this organization in the NPPES registry on August 14, 2007.

Where is Douglas Ahn, M.D., P.L.L.C. located?

Douglas Ahn, M.D., P.L.L.C. is located at 122 Business Park Dr Suite 1, Utica, NY 13502. The listed phone number is (315) 738-7883.

What is Douglas Ahn, M.D., P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Ahn, M.D., P.L.L.C. enrolled in Medicare?

Yes. Douglas Ahn, M.D., P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas Ahn, M.D., P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Douglas Ahn, M.D., P.L.L.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Ahn, M.D., P.L.L.C. was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.