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

Q: 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.

Q: 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.

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: November 08, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Christopher Tenggardjaja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

2,031 mi

Health Maintenance Organization

43112 N 15TH ST
Lancaster, CA 93534

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1982863783 (661) 726-2279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Christopher Tenggardjaja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Tenggardjaja reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christopher Tenggardjaja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 5 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.