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DR. JANI WIDJAJA MD NPI 1902881287


NPI Information

NPI: 1902881287
Provider Name: DR. JANI WIDJAJA, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1000 MEDICAL CENTER BLVD
RADIOLOGY DEPT
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 995-4321
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DR. Jani Widjaja, MD is a diagnostic radiology radiology in Lawrenceville, GA with 33 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jani Widjaja, MD NPI is 1902881287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1991

The provider's business location address is:

1000 MEDICAL CENTER BLVD
RADIOLOGY DEPT
LAWRENCEVILLE, GA
ZIP 30045-694
Phone: (770) 995-4321

The NPI 1902881287 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan chest (HCPCS:71250)
  • Mammography of both breasts (HCPCS:77067)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • Ct scan of face (HCPCS:70486)
  • Ultrasound of head and neck (HCPCS:76536)

The enumeration date for this NPI number is 12/9/2005 and was last updated on 4/6/2022.


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
12085R0202XRadiologyDiagnostic Radiology49221GEORGIAYes

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
1000890447AMEDICAIDGEORGIA

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: 4/28/2024

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