JUWONO LINDAWATI SUTEDJO MD NPI 1114072980

NPI Information

  • NPI: 1114072980
  • Provider Name: JUWONO LINDAWATI SUTEDJO, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 PASTEUR DR
    STANFORD, CA
    ZIP 94305
  • Phone: (650) 723-4000

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NPI Details

Juwono Lindawati Sutedjo, MD is a cardiovascular disease internal medicine in Stanford, CA with 20 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Juwono Lindawati Sutedjo, MD NPI is 1114072980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 PASTEUR DR
STANFORD, CA
ZIP 94305-200
Phone: (650) 723-4000

The NPI 1114072980 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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS:A9502)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Injection, perflutren lipid microspheres, per ml (HCPCS:Q9957)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Electrocardiogram (ecg) 2-day continuous (HCPCS:93225)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
  • Heart rhythm recording of continous external ekg over 8-15 days (HCPCS:93246)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)

The enumeration date for this NPI number is 1/24/2007 and was last updated on 9/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine21983MONTANANo
2207R00000XInternal Medicine228744MASSACHUSETTSNo
3207RC0000XInternal MedicineCardiovascular Disease21983MONTANANo
4207UN0901XNuclear MedicineNuclear CardiologyC180691CALIFORNIANo
5207RC0000XInternal MedicineCardiovascular DiseaseC180691CALIFORNIAYes

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: 11/21/2025

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