Physician Profile

Iwan Nyotowidjojo, M.D.

Unclaimed Profile

About Dr. Nyotowidjojo

Iwan Nyotowidjojo, M.D. is a healthcare provider in Rancho Santa Margarita, CA specializing in internal medicine. Iwan trained at University of Vermont College of Medicine, graduating in 2014. According to Medicare claims data, Iwan cared for 113 Medicare patients across 147 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, insertion of needle into vein for collection of blood sample, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more. This provider record is associated with NPI 1578976270.

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

Specialty

Internal Medicine (Primary)

Credentials & Licensing

CA licenceAs reported to the NPI registry
No. A167115As reported
AL licenceAs reported to the NPI registry
No. 45679As reported
AZ licenceAs reported to the NPI registry
No. 68913As reported
AZ licenceAs reported to the NPI registry
No. R74508As reported
CO licenceAs reported to the NPI registry
No. DR.0069772As reported
DE licenceAs reported to the NPI registry
No. CL-0025782As reported
FL licenceAs reported to the NPI registry
No. TPME4194As reported
IA licenceAs reported to the NPI registry
No. MD-50889As reported
ID licenceAs reported to the NPI registry
No. MC-1884As reported
IN licenceAs reported to the NPI registry
No. 01089040AAs reported
KS licenceAs reported to the NPI registry
No. TW-00242As reported
KY licenceAs reported to the NPI registry
No. C1300As reported
LA licenceAs reported to the NPI registry
No. 334744As reported
MD licenceAs reported to the NPI registry
No. D0096206As reported
ME licenceAs reported to the NPI registry
No. MD26749As reported
NPINational Provider Identifier
1578976270Issued 2014

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 does Iwan Nyotowidjojo specialize in?

Iwan Nyotowidjojo is an internist in Rancho Santa Margarita, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Internal Medicine”.

NPI registry

Where is Iwan Nyotowidjojo located?

Iwan Nyotowidjojo is listed at 29472 Avenida de Las Banderas, Rancho Santa Margarita, CA 92688. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Iwan Nyotowidjojo's phone number?

The number on file is (949) 459-9968. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Iwan Nyotowidjojo's NPI number?

Iwan Nyotowidjojo's National Provider Identifier is 1578976270. 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

Where did Iwan Nyotowidjojo train?

Iwan Nyotowidjojo attended University of Vermont College of Medicine, graduating in 2014. This comes from the CMS National Downloadable File.

CMS public data

How long has Iwan Nyotowidjojo been practicing?

Iwan Nyotowidjojo has 12 years experience. Calculated from a graduation year of 2014, reported in the CMS National Downloadable File.

CMS public data

What does Iwan Nyotowidjojo do most often?

According to Medicare billing data, Iwan Nyotowidjojo performs procedures including insertion of needle into vein for collection of blood sample, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Iwan Nyotowidjojo confirmed this information?

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

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.