DR. DANIEL SUSANTO MD NPI 1144364605

NPI Details

DR. Daniel Susanto, MD is a neuroradiology radiology in Lynnwood, WA with 22 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Daniel Susanto, MD NPI is 1144364605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2004

The provider's business location address is:

19020 33RD AVE W STE 210
LYNNWOOD, WA
ZIP 98036-748
Phone: (425) 563-1500
Fax: (425) 563-1501

The NPI 1144364605 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.

• Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
• Ct scan head or brain without contrast (HCPCS:70450)
• Ct scan of blood vessels of head with contrast (HCPCS:70496)
• Ct scan of blood vessels of neck with contrast (HCPCS:70498)
• Mri scan of brain without contrast (HCPCS:70551)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Ct scan of upper spine without contrast (HCPCS:72125)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• Mri scan of blood vessels of head without contrast (HCPCS:70544)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Ct scan of lower spine without contrast (HCPCS:72131)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
• Ct scan of middle spine without contrast (HCPCS:72128)
• Ct scan of face without contrast (HCPCS:70486)
• Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
• Ct scan of head or brain before and after contrast (HCPCS:70470)
• Mri scan of bone of eye socket, face, and/or neck before and after contrast (HCPCS:70543)
• Mri scan of blood vessels of neck before and after contrast (HCPCS:70549)
• Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
• Mri scan of brain without contrast (HCPCS:70551)
• Ct scan of face with contrast (HCPCS:70487)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)

The enumeration date for this NPI number is 2/17/2007 and was last updated on 11/5/2019.

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:

Other Identifiers

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