Provider Profile

Elizabeth Kertowidjojo

Unclaimed Profile

About Elizabeth Kertowidjojo

Based in Chicago, IL, Elizabeth Kertowidjojo is listed in the NPI registry under pathology. Elizabeth graduated from New York Medical College in 2015. Medicare claims data shows Elizabeth provided 711 services to 428 patients. The services billed most often include special stained specimen slides to examine tissue, each additional procedure, pathology examination of tissue using a microscope, intermediate complexity, and pathology examination of tissue using a microscope, moderately high complexity. NPI 1659767259 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Pathology (Primary)

Credentials & Licensing

IL licenceAs reported to the NPI registry
No. 036155653As reported
NPINational Provider Identifier
1659767259Issued 2015

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Elizabeth Kertowidjojo's specialty?

Elizabeth Kertowidjojo is a pathologist in Chicago, IL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Pathology”.

NPI registry

Where can I find Elizabeth Kertowidjojo?

Elizabeth Kertowidjojo is listed at 5841 S Maryland Ave, Chicago, IL 60637. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Elizabeth Kertowidjojo?

The number on file is (888) 824-0200. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Elizabeth Kertowidjojo?

Elizabeth Kertowidjojo's National Provider Identifier is 1659767259. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Elizabeth Kertowidjojo's education?

Elizabeth Kertowidjojo attended New York Medical College, graduating in 2015. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Elizabeth Kertowidjojo have?

Elizabeth Kertowidjojo has 11 years experience. Calculated from a graduation year of 2015, reported in the CMS National Downloadable File.

CMS public data

What is Elizabeth Kertowidjojo known for?

According to Medicare billing data, Elizabeth Kertowidjojo the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Elizabeth Kertowidjojo's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Elizabeth Kertowidjojo. If this is you, claiming it is free.

Guide.md

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