DR. IMAM EKO TJAHJA MD NPI 1760472948

NPI Information

  • NPI: 1760472948
  • Provider Name: DR. IMAM EKO TJAHJA, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12340 BANDERA RD STE 104
    HELOTES, TX
    ZIP 78023
  • Phone: (210) 920-8000

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NPI Details

DR. Imam Eko Tjahja, MD is a cardiovascular disease internal medicine in Helotes, TX with 44 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. DR. Imam Eko Tjahja, MD NPI is 1760472948. 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:

12340 BANDERA RD STE 104
HELOTES, TX
ZIP 78023
Phone: (210) 920-8000
Fax: (210) 920-6000

The NPI 1760472948 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.

  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Injection, dipyridamole, per 10 mg (HCPCS:J1245)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Injection, aminophyllin, up to 250 mg (HCPCS:J0280)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Balloon dilation of single coronary artery or branch (HCPCS:92920)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Coronary angioplasty and stenting (HCPCS:NAN05)

The enumeration date for this NPI number is 10/27/2005 and was last updated on 12/18/2024.

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 MedicineJ9393TEXASNo
2207RI0011XInternal MedicineInterventional CardiologyJ9393TEXASNo
3207RC0000XInternal MedicineCardiovascular DiseaseJ9393TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1629794AS1DOTHERTEXASMEDICARE ID
2104420801MEDICAIDTEXAS

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: 3/30/2025

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