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VINCENT SETIAWAN PRAWOKO MD
NPI 1003268301
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment
1650 GRAND CONCOURSE, BRONX, NY 10457(347) 601-1241(718) 960-2055 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vincent Setiawan Prawoko Md NPPES

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

VINCENT SETIAWAN PRAWOKO MD (NPI 1003268301) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003268301
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVINCENT SETIAWAN PRAWOKOCredential: MD
Location Address1650 GRAND CONCOURSEBronx, NY 10457-7606
Mailing Address1650 Grand ConcourseBronx, NY 10457-7606 · (347) 601-1241 · Fax (718) 960-2055
Phone(347) 601-1241
Fax(718) 960-2055
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 11, 2016
✔ NPI 1003268301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1650 GRAND CONCOURSE, Bronx, NY 10457
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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

Vincent Setiawan Prawoko Md 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 ID2466789359
PECOS Enrollment IDI20190815001550
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
145 services142 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Hudson Valley Hospital Center

Acute Care Hospitals · Cortlandt Manor, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330267
Location1980 Crompond RoadCortlandt Manor, NY 10567 · Westchester County
Emergency services Birthing friendly

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.

CASSIE LAUREN GREEN M.S., CCC-SLP
Speech-Language Pathologist
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (201) 281-3781
ARAMARK
Clinic/Center
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (646) 641-7427
MAY YEE HELMAN M.D.
Emergency Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
ANDREA ELIZABETH SPIEKHOUT D.O.
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
HAIDER GHAZANFAR
Internal Medicine (Gastroenterology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (917) 856-6383
MATTHEW PEACHEY MD
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
TRACY RAU MD
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 590-1800
PRACHIE GARG MD
Pediatrics
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669

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 Vincent Setiawan Prawoko's NPI number?

The NPI number for Vincent Setiawan Prawoko is 1003268301. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Vincent Setiawan Prawoko located?

Vincent Setiawan Prawoko practices at 1650 Grand Concourse, Bronx, NY 10457. The listed phone number is (347) 601-1241.

What is Vincent Setiawan Prawoko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Vincent Setiawan Prawoko enrolled in Medicare?

Yes. Vincent Setiawan Prawoko 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.

Is Vincent Setiawan Prawoko affiliated with any hospitals?

According to CMS data, Vincent Setiawan Prawoko is affiliated with Garnet Health Medical Center, Good Samaritan Hospital Of Suffern, Healthalliance Hospital Marys Avenue Campus, Westchester Medical Center and Hudson Valley Hospital Center.

When was this NPI record last updated?

The NPPES record for Vincent Setiawan Prawoko was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.