DR. CHRISTOPHER F TENGGARDJAJA M.D. NPI 1003029646

Urology (Female Pelvic Medicine and Reconstructive Surgery) in Cleveland, OH

NPI 1003029646 Individual Male Years of Experience 16 Urology Female Pelvic Medicine and Reconstructiv... PECOS Enrolled Accepts Medicare Approved Payment

About CHRISTOPHER TENGGARDJAJA

Christopher Tenggardjaja is a provider established in Cleveland, Ohio and his medical specialization is urology (female pelvic medicine and reconstructive surgery) with more than 16 years of experience. He graduated from Northwestern University Feinberg Medical School in 2006. The NPI number of Christopher Tenggardjaja is 1003029646 and was assigned on May 2007. The practitioner's primary taxonomy code is 2088F0040X with license number A100721 (CA). The provider is registered as an individual and his NPI record was last updated November 2021.

Christopher Tenggardjaja is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Christopher Tenggardjaja is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Kaiser Foundation Hospital - Los Angeles.

NPI

1003029646

Provider NameDR. CHRISTOPHER F TENGGARDJAJA M.D.
Provider Location Address9500 EUCLID AVE Q10-1 CLEVELAND, OH 44195
Provider Mailing Address9500 EUCLID AVE Q10-1 CLEVELAND, OH 44195
GenderMale
NPI Entity TypeIndividual
Medical School NameNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year2006
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-08-2007
Last Update Date11-04-2021


Primary Taxonomy

Taxonomy Code2088F0040X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
SpecializationFemale Pelvic Medicine and Reconstructive Surgery
License No.A100721
License StateCA
Taxonomy DescriptionA subspecialist in Female Pelvic Medicine and Reconstructive 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.

Business Address

DR. CHRISTOPHER F TENGGARDJAJA M.D.
9500 EUCLID AVE
Q10-1
CLEVELAND, OH
ZIP 44195
Phone: (216) 444-5600

Get Directions


Mailing Address

DR. CHRISTOPHER F TENGGARDJAJA M.D.
9500 EUCLID AVE
Q10-1
CLEVELAND, OH
ZIP 44195
Phone:



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6305096389
PECOS Enrollment IDI20141108000360
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Christopher Tenggardjaja is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
KAISER FOUNDATION HOSPITAL - LOS ANGELES4867 SUNSET BLVD
LOS ANGELES, CA 90027
(323) 783-4011Acute Care Hospitals50138

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144223231DR. TERENCE LEE GUTGSELL M.D.
Individual
Internal Medicine (Hospice and Palliative Medicine)9500 EUCLID AVE
CLEVELAND, OH 44195
(216) 444-2200
1922002575DR. LEONARD JOSEPH HORWITZ MD
Individual
Specialist9500 EUCLID AVE R35
CLEVELAND, OH 44195
(216) 445-2030
1851397004DR. DANIEL CLARK D.O.
Individual
Anesthesiology9500 EUCLID AVE
CLEVELAND, OH 44195
(800) 223-2273
1508862608 CATHERINE NAHAS CRNA
Individual
Nurse Anesthetist, Certified Registered9500 EUCLID AVE
CLEVELAND, OH 44195
(800) 223-2273
1265438139DR. KALYANI D SHAH MD
Individual
Physical Medicine & Rehabilitation (Pain Medicine)9500 EUCLID AVE C-21
CLEVELAND, OH 44195
(216) 445-0915
1386641744 ALBERT V CHAN JR.
Individual
Internal Medicine (Cardiovascular Disease)9500 EUCLID AVE WL20
CLEVELAND, OH 44195
(440) 899-5555
1003813833 MARK PAUL PACE D.O.
Individual
Internal Medicine (Cardiovascular Disease)9500 EUCLID AVE TW10
CLEVELAND, OH 44195
(330) 888-4000
1992704324 PERRY L FLEISHER M.D.
Individual
Internal Medicine (Interventional Cardiology)9500 EUCLID AVE
CLEVELAND, OH 44195
(216) 444-2200
1548260201MRS. ERIN MARIE FELDMAN MSSA, LSW
Individual
Social Worker9500 EUCLID AVE DESK S20
CLEVELAND, OH 44195
(216) 445-4224
1538169651 BOHDAN MYKOLA PICHURKO MD
Individual
Internal Medicine (Pulmonary Disease)9500 EUCLID AVE
CLEVELAND, OH 44195
(216) 444-2200
1356342927 AMY L AYLWARD M.A.
Individual
Audiologist9500 EUCLID AVE
CLEVELAND, OH 44195
(216) 986-1313
1144222167MRS. JULIA C JANKO AA-C
Individual
Anesthesiologist Assistant9500 EUCLID AVE
CLEVELAND, OH 44195
(216) 444-2200
1275535031 MICHAEL HARRY HACKETT MD
Individual
Family Medicine9500 EUCLID AVE WH10
CLEVELAND, OH 44195
(216) 444-2200
1770585390DR. ANDREI VERMONT M.D.
Individual
Radiology (Diagnostic Radiology)9500 EUCLID AVE
CLEVELAND, OH 44195
(800) 223-2273
1730171752DR. RAMON MADARA MALAYA JR. M.D.
Individual
Surgery9500 EUCLID AVE ECC-1
CLEVELAND, OH 44195
(440) 204-7439
1275525362DR. RICHARD A FIGLER MD
Individual
Family Medicine (Sports Medicine)9500 EUCLID AVE A 41
CLEVELAND, OH 44195
(216) 444-7512
1861484792 RUTH M FARRELL MD, MA
Individual
Surgery9500 EUCLID AVE JJ-60
CLEVELAND, OH 44195
(216) 444-2615
1487646238 KAREN R COOPER D.O.
Individual
Family Medicine9500 EUCLID AVE M61
CLEVELAND, OH 44195
(216) 445-1114
1376536425 NORMAN KAI-YAN SO MD
Individual
Psychiatry & Neurology (Neurology)9500 EUCLID AVE S51
CLEVELAND, OH 44195
(216) 444-9356
1992799902MS. EVELYN M ARAMBASICK APRN, BC
Individual
Registered Nurse9500 EUCLID AVE
CLEVELAND, OH 44195
(216) 444-5037

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.