Irawan Susanto, MD - Medicare Internal Medicine in Santa Monica, CA

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Irawan Susanto, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Santa Monica, California. His current practice location is 1223 16th St, Suite 3400, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 449-0939.

Irawan Susanto is licensed to practice in California (license number C50280) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003836610.

Contact Information

Irawan Susanto, MD
1223 16th St, Suite 3400,
Santa Monica, CA 90404-1217
(310) 449-0939
(424) 259-7790

Map and Direction




Physician's Profile

Full NameIrawan Susanto
GenderMale
SpecialityInternal Medicine - Critical Care Medicine
Location1223 16th St, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003836610
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 02/06/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7113073503
  • Enrollment ID: I20090928000203

Medical Identifiers

Medical identifiers for Irawan Susanto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003836610NPI-NPPES
00C502800MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease C50280 (California)Secondary
207RC0200XInternal Medicine - Critical Care Medicine C50280 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Irawan Susanto allows following entities to bill medicare on his behalf.
Entity NameRancho Faculty Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750317970
PECOS PAC ID: 8022902469
Enrollment ID: O20040211000774

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Irawan Susanto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Irawan Susanto, MD
5767 W Century Blvd, Suite 200,
Los Angeles, CA 90045-5632

Ph: (310) 301-8708		Irawan Susanto, MD
1223 16th St, Suite 3400,
Santa Monica, CA 90404-1217

Ph: (310) 449-0939

Reviews and Comments


Internal Medicine Doctors in Santa Monica, CA

Louis Ravitz, MD
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Practice Location: 2336 Santa Monica Blvd, Suite 207, Santa Monica, CA 90404
Phone: 310-828-9311    Fax: 310-453-8533
Janet Winikoff, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2001 Santa Monica Blvd Ste 860, Santa Monica, CA 90404
Phone: 310-828-3209    Fax: 310-828-5165
Dr. Sean Dooley, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404
Phone: 323-829-8745    
Lorraine Anderson, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1245 16th St Ste 303, Santa Monica, CA 90404
Phone: 310-481-4646    Fax: 310-899-7599
Vivek Dilipkumar Shah,
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404
Phone: 310-453-5654    Fax: 310-453-6885
Dr. Colleen Lucy Channick, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1223 16th St Ste 3400, Santa Monica, CA 90404
Phone: 310-449-0939    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.