Provider Type Icon

DR. SUSANTI RAHAJU IE MD NPI 1215910781


NPI Information

NPI: 1215910781
Provider Name: DR. SUSANTI RAHAJU IE, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: CARILION MEDICAL CENTER

PECOS Registration: Yes

Address:
2001 CRYSTAL SPRING AVE SW
SUITE 300
ROANOKE, VA
ZIP 24014
Phone: (540) 985-8505
Get Directions

DR. Susanti Rahaju Ie, MD is a pulmonary disease internal medicine in Roanoke, VA with 31 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Susanti Rahaju Ie, MD NPI is 1215910781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

2001 CRYSTAL SPRING AVE SW
SUITE 300
ROANOKE, VA
ZIP 24014-462
Phone: (540) 985-8505

The NPI 1215910781 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement of lung diffusing capacity (HCPCS:94729)
  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • Determination of lung volumes using plethysmography (HCPCS:94726)
  • Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube (HCPCS:95811)
  • Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)
  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)

The enumeration date for this NPI number is 11/29/2005 and was last updated on 4/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care Medicine050640GEORGIANo
2207RP1001XInternal MedicinePulmonary Disease050640GEORGIANo
3207RP1001XInternal MedicinePulmonary Disease0101244044VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1290014160OTHERGEORGIARAILROAD MEDICARE
200927616AMEDICAIDGEORGIA
3874218OTHERGEORGIABLUE CROSS BLUE SHIELD
47024155OTHERAETNA
529BDCGJMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
61944925001OTHERCIGNA
7H22046MEDICARE UPIN
80932200001OTHERGEORGIAWORKERS COMPENSATION
95791203OTHERGHI
104800175OTHERUNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.