ADITYA PANDU SUNIDJA M.D. NPI 1861631459

NPI Information

  • NPI: 1861631459
  • Provider Name: ADITYA PANDU SUNIDJA, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1304 FAWCETT AVE
    SUITE 100
    TACOMA, WA
    ZIP 98402
  • Phone: (253) 761-4200

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NPI Details

Aditya Pandu Sunidja, M.D. is a diagnostic radiology radiology in Tacoma, WA with 22 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Aditya Pandu Sunidja, M.D. NPI is 1861631459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

1304 FAWCETT AVE
SUITE 100
TACOMA, WA
ZIP 98402-911
Phone: (253) 761-4200
Fax: (253) 383-3553

The NPI 1861631459 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 of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • 3d radiographic procedure (HCPCS:76376)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of knee, 1-2 views (HCPCS:73560)

The enumeration date for this NPI number is 2/5/2009 and was last updated on 9/3/2024.

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
1174400000XSpecialist235938MASSACHUSETTSNo
22085R0202XRadiologyDiagnostic RadiologyMD60082442WASHINGTONYes

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
1G8882744OTHERWASHINGTONPTAN-TRA PIERCE CO
2G8882901OTHERWASHINGTONPTAN-UAOM
3R174972OTHERWASHINGTONPTAN-PENDLETON, OREGON
4G8883121OTHERWASHINGTONPTAN-MIO1
50252135OTHERWASHINGTONLABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
6G8883319OTHERWASHINGTONPTAN-TRA KING CO
72001567MEDICAIDWASHINGTON

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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