MADE SUTJITA M.D.
NPI 1053428334
Internal Medicine - Infectious Disease in Moreno Valley, CA

Q: What is Made Sutjita's NPI number?

The NPI number for Made Sutjita is 1053428334. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Made Sutjita's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Made Sutjita was last updated on June 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment

85.54/100

CMS Quality Rating

26520 CACTUS AVE, MORENO VALLEY, CA 92555(951) 486-5700(951) 486-5705 Get Directions Write a Review

NPPES record last updated: June 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Made Sutjita M.d. NPPES

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

MADE SUTJITA M.D. (NPI 1053428334) is an individual infectious disease provider in Moreno Valley, California, licensed in California (A77694) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1053428334

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameMADE SUTJITACredential: M.D.

Location Address26520 CACTUS AVEMoreno Valley, CA 92555-3927

Mailing AddressPo Box 7270Moreno Valley, CA 92552-7270 · (951) 656-1500 · Fax (951) 656-1510

Phone(951) 486-5700

Fax(951) 486-5705

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateAugust 24, 2006

Last NPPES UpdateJune 13, 2015

✔ NPI 1053428334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in CA · A77694

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

26520 CACTUS AVE, Moreno Valley, CA 92555

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Other Identifiers 1

Medicare UPING98429CA

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

Made Sutjita 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 ID2860430238

PECOS Enrollment IDI20050418000876

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 4

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.

50 services47 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

26 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92555 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.54/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.15

Promoting Interoperability

Improvement Activities

Cost

53.82

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.

MARINA BOYARSKY M.D.

Student in an Organized Health Care Education/Training Program

26520 CACTUS AVE, FAMILY MEDICINE RESIDENCY PROGRAM
MORENO VALLEY, CA 92555

Riverside County (951) 486-5611

DR. THU KIEU NGUYEN HUYNH PHARM.D.

Pharmacist