HENDRA AUGUSTINUS SANUSI MD NPI 1922007053

NPI Information

  • NPI: 1922007053
  • Provider Name: HENDRA AUGUSTINUS SANUSI, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 535 WESTFIELD RD
    SUITE 200
    CHARLOTTESVILLE, VA
    ZIP 22901
  • Phone: (434) 973-4040

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NPI Details

Hendra Augustinus Sanusi, MD is a family medicine in Charlottesville, VA with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Hendra Augustinus Sanusi, MD NPI is 1922007053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

535 WESTFIELD RD
SUITE 200
CHARLOTTESVILLE, VA
ZIP 22901-725
Phone: (434) 973-4040
Fax: (434) 974-1780

The NPI 1922007053 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Urinalysis, manual test (HCPCS:81002)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/20/2005 and was last updated on 11/1/2012.

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
1207Q00000XFamily Medicine0101047354VIRGINIAYes

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
1230912OTHERVIRGINIAANTHEM
2005624665MEDICAIDVIRGINIA
3142898OTHERVIRGINIASOUTHERN HEALTH
4F26629MEDICARE UPIN
5080005615MEDICARE PINVIRGINIA

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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