SUSANTI RAHAJU IE MD
NPI 1215910781
Internal Medicine, Critical Care Medicine in Roanoke,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 29, 2005

Contact Information

2001 Crystal Spring Ave Sw
Roanoke,
Post Code: 24014
Phone: (540) 985-8505
Fax: -

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Susanti Rahaju Ie Md in Roanoke - Internal Medicine, Critical Care Medicine

Susanti Rahaju Ie Md is a Internal Medicine, Critical Care Medicine in Roanoke, . Susanti Rahaju Ie Md practices all healthcare services and medical treatments related to Internal Medicine, Critical Care Medicine. The NPI Number for Susanti Rahaju Ie Md is 1215910781. The last update date is 2017-04-04.

Susanti Rahaju Ie Md's current location address is 2001 Crystal Spring Ave Sw, Roanoke, . You can contact this provider via phone number (540) 985-8505 and fax number -. The mailing address for Susanti Rahaju Ie Md is 2001 Crystal Spring Ave Sw, Roanoke, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1215910781
Provider Name
SUSANTI RAHAJU IE MD
Gender
Female
Entity Type
Individual
Location Address
2001 Crystal Spring Ave Sw, Roanoke,
Location Phone
(540) 985-8505
Location Fax
-
Mailing Address
2001 Crystal Spring Ave Sw, Roanoke, Virginia(VA)
Mailing Phone
540-985-8505
Mailing Fax
-
Enumeration Date
2005-11-29
Last Update Date
2017-04-04
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine, Pulmonary Disease

Taxonomy Code
207RP1001X
Type
-
License No.
0101244044
License State
Virginia (VA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207RC0200X Critical Care Medicine (Internal Medicine) Physician

Internal Medicine, Critical Care Medicine

050640 (Georgia)
2 207RP1001X Pulmonary Disease Physician

Internal Medicine, Pulmonary Disease

050640 (Georgia)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00927616A MEDICAID (05) Georgia (GA)
0932200001 Other (non-Medicare) (01) Georgia (GA) Workers Compensation
1944925001 Other (non-Medicare) (01) () Cigna
290014160 Other (non-Medicare) (01) Georgia (GA) Railroad Medicare
4800175 Other (non-Medicare) (01) () United Healthcare
5791203 Other (non-Medicare) (01) () GHI
7024155 Other (non-Medicare) (01) () Aetna
874218 Other (non-Medicare) (01) Georgia (GA) Blue Cross Blue Shield

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215910781
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251810716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22251810716
2 + 2 + 2 + 5 + 1 + 8 + 1 + 0 + 7 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1215910781 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134122161 RODRIGO C HURTADO
Individual
Allergy & Immunology 3450 N BEAUREGARD ST
ALEXANDRIA, Virginia (VA)
703-820-7000
1205839438 SCOTT A TRAPP
Individual
Dentist, General Practice 3832 HOUNDSTOOTH CT
RICHMOND, Virginia (VA)
804-387-3603
1013910207 CORWIN LEE BROWER
Individual
Pharmacist 1010 PENDLETON ST
RADFORD, Virginia (VA)
540-639-5884
1134122138 PETER NEIL BRIELOFF
Individual
Podiatrist 14010 SMOKETOWN RD STE 103
WOODBRIDGE, Virginia (VA)
703-583-5959
1083617260 MARC BLATSTEIN
Individual
Podiatrist, Foot Surgery 1283 CARL D SILVER PKWY
FREDERICKSBURG, Virginia (VA)