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DR. CHRISTOPHER F TENGGARDJAJA M.D.
NPI 1003029646
Urology - Urogynecology and Reconstructive Pelvic Surgery in Cleveland, OH

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
9500 EUCLID AVE, Q10-1, CLEVELAND, OH 44195(216) 444-5600 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Christopher F Tenggardjaja M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHRISTOPHER F TENGGARDJAJA M.D. (NPI 1003029646) is an individual urogynecology and reconstructive pelvic surgery provider in Cleveland, Ohio, licensed in California (A100721) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2006).

NPPES Registry Identity

NPI1003029646
Entity TypeIndividualMale
Primary Taxonomy2088F0040X
Provider Legal NameDR. CHRISTOPHER F TENGGARDJAJACredential: M.D.
Location Address9500 EUCLID AVE, Q10-1Cleveland, OH 44195-0001
Mailing Address9500 Euclid Ave, Q10-1Cleveland, OH 44195-0001
Phone(216) 444-5600
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2006
Enumeration DateMay 8, 2007
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1003029646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
License✔ Licensed in CA · A100721
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9500 EUCLID AVE, Cleveland, OH 44195
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Christopher F Tenggardjaja M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305096389
PECOS Enrollment IDI20141108000360
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,800 services$1.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY COLLEEN RATH R.D., L.D., CNSC
Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Cuyahoga County (216) 444-6986
DR. MASATO FUJIKI M.D., PH.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (216) 444-8007
KRISTIN R JOHNSON CNP
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MONICA LYNN SHEIN CRNA
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MRS. TONYA RENEE GOINGS ACNP-BC
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MS. DANA ANNE RUBIS CNP
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5086
DR. RACHAEL C SULLIVAN M.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (440) 449-1101
GOPAKUMAR SUDHAKARAN NAIR MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE, CENTER FOR ANESTHESIOLOGY EDUCATION-E30, CCF
CLEVELAND, OH 44195
Cuyahoga County (216) 445-2115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Tenggardjaja's NPI number?

The NPI number for Christopher Tenggardjaja is 1003029646. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Christopher Tenggardjaja located?

Christopher Tenggardjaja practices at 9500 Euclid Ave Q10-1, Cleveland, OH 44195. The listed phone number is (216) 444-5600.

What is Christopher Tenggardjaja's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Christopher Tenggardjaja enrolled in Medicare?

Yes. Christopher Tenggardjaja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Christopher Tenggardjaja was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.