AGUSTINUS SUHARDJA MD NPI 1235349473

NPI Details

Agustinus Suhardja, MD is a diagnostic radiology radiology in Glendora, CA with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Agustinus Suhardja, MD NPI is 1235349473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

828 S GRAND AVE STE 104
GLENDORA, CA
ZIP 91740-856
Phone: (626) 963-2057
Fax: (626) 963-4298

The NPI 1235349473 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)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of knee, 4 or more views (HCPCS:73564)
• X-ray of knee, 4 or more views (HCPCS:73564)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of chest, 2 views (HCPCS:71046)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of chest, 2 views (HCPCS:71046)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of abdomen, 1 view (HCPCS:74018)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of upper spine, 4-5 views (HCPCS:72050)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• X-ray of thigh bone, minimum 2 views (HCPCS:73552)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Complete ultrasound scan of pelvis (HCPCS:76856)
• Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of lower leg, 2 views (HCPCS:73590)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• X-ray of knee, 1-2 views (HCPCS:73560)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• X-ray of elbow, minimum of 3 views (HCPCS:73080)
• X-ray of middle spine, 3 views (HCPCS:72072)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of upper spine, 4-5 views (HCPCS:72050)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
• Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• X-ray of lower leg, 2 views (HCPCS:73590)
• X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
• X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• X-ray of abdomen, 2 views (HCPCS:74019)
• X-ray of abdomen, 1 view (HCPCS:74018)
• X-ray for bone length assessment (HCPCS:77073)
• Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
• Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
• X-ray of middle spine, 3 views (HCPCS:72072)
• X-ray of upper arm, minimum of 2 views (HCPCS:73060)
• X-ray of both hips, 3-4 views (HCPCS:73522)
• X-ray of middle spine, 2 views (HCPCS:72070)
• Mri scan of brain without contrast (HCPCS:70551)
• Double contrast x-ray of esophagus (HCPCS:74221)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• X-ray of both hips, 3-4 views (HCPCS:73522)
• Mastectomy (HCPCS:NAN04)

The enumeration date for this NPI number is 5/23/2007 and was last updated on 11/29/2021.

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: