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AMISHA AHUJA M.D.
NPI 1912431966
Internal Medicine - Gastroenterology in Philadelphia, PA

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
833 CHESTNUT ST, SUITE 220, PHILADELPHIA, PA 19107(215) 955-8465(215) 955-2516 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 25, 2023, Oct 9, 2023, Apr 17, 2017 (3 updates tracked since 2017).

About Amisha Ahuja M.d. NPPES

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

AMISHA AHUJA M.D. (NPI 1912431966) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Texas (U5623) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912431966
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameAMISHA AHUJACredential: M.D.
Location Address833 CHESTNUT ST, SUITE 220Philadelphia, PA 19107-4414
Mailing Address833 Chestnut St, Suite 220Philadelphia, PA 19107-4414 · (215) 955-8465 · Fax (215) 955-2516
Phone(215) 955-8465
Fax(215) 955-2516
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 17, 2017
Last NPPES UpdateOctober 9, 20233 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1912431966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · U5623
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
833 CHESTNUT ST, Philadelphia, PA 19107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Amisha Ahuja M.d. 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 ID9931477965
PECOS Enrollment IDI20231013000318
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 Reassignment

Medicare enrollment records show Amisha Ahuja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The University Of Texas Southwestern Medical Center At Dallas
1,239 mi
Physical Medicine & Rehabilitation
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1417099599 (214) 645-0624

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 10

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
47 services47 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
43 services43 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
42 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 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
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.
22 services18 patients

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Other Providers at the Same Location NPPES 20

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

DR. JOHN W. CARUSO M.D.
Internal Medicine
833 CHESTNUT ST, SUITE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
MARY E BADURA M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (800) 326-7002
MS. ETHEL MARIE CLAIRE JOLICOEUR M.SC., M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 873-2083
VINCENZO BERGHELLA MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
833 CHESTNUT ST, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
DR. VICTOR A. DIAZ JR. M.D.
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6539
DR. MARC J. ALTSHULER M.D.
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190
DONA CHEN M.D.
Pediatrics
833 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (302) 651-4200
MS. CHRISTINA SUZANNE GIATROPOULOS M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 351-2331

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 Amisha Ahuja's NPI number?

The NPI number for Amisha Ahuja is 1912431966. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Amisha Ahuja located?

Amisha Ahuja practices at 833 Chestnut St Suite 220, Philadelphia, PA 19107. The listed phone number is (215) 955-8465.

What is Amisha Ahuja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Amisha Ahuja enrolled in Medicare?

Yes. Amisha 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 organization bills Medicare for Amisha Ahuja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amisha Ahuja reassigns Medicare benefits to The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX). The 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 Amisha Ahuja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amisha Ahuja accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Amisha 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 Amisha Ahuja affiliated with any hospitals?

According to CMS data, Amisha Ahuja is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Amisha Ahuja was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.