MELANIE ALEXANDRA ATMADJA
NPI 1033475462
Pediatrics in San Francisco, CA
About Melanie Alexandra Atmadja NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELANIE ALEXANDRA ATMADJA (NPI 1033475462) is an individual pediatrics provider in San Francisco, California, licensed in California (A126543) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
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
Melanie Alexandra Atmadja 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94103
SAN FRANCISCO, CA 94103
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 Melanie Atmadja's NPI number?
The NPI number for Melanie Atmadja is 1033475462. It was assigned to this individual provider in the NPPES registry on April 10, 2012.
Where is Melanie Atmadja located?
Melanie Atmadja practices at 350 Rhode Island St, San Francisco, CA 94103. The listed phone number is (415) 600-4500.
What is Melanie Atmadja's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Melanie Atmadja enrolled in Medicare?
Yes. Melanie Atmadja 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 Melanie Atmadja was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Melanie Alexandra Atmadja · NPI 1033475462
Pediatrics physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since April 10, 2012.
## Identity
- **NPI:** 1033475462 (Entity type: Individual)
- **Enumerated:** April 10, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A126543 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 RHODE ISLAND ST, San Francisco, CA 94103-5182
- **Phone:** (415) 600-4500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Stanford University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** November 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033475462) · Data from the CMS NPPES public registry.