DR. DHARMA BUDI SUNJAYA M.D.
NPI 1053790329
Internal Medicine in Rochester, MN

Q: What is Dharma Sunjaya's NPI number?

The NPI number for Dharma Sunjaya is 1053790329. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Q: What is Dharma Sunjaya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Dharma Sunjaya was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 20, 2015PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2016, Sep 14, 2016, Aug 21, 2016 (3 updates tracked since 2016).

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About Dr. Dharma Budi Sunjaya M.d. NPPES

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

DR. DHARMA BUDI SUNJAYA M.D. (NPI 1053790329) is an individual internal medicine provider in Rochester, Minnesota, licensed in Minnesota (60926) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of University Of California, Geffen School Of Medicine (2011).

NPPES Registry Identity

NPI1053790329

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. DHARMA BUDI SUNJAYACredential: M.D.

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2011

Enumeration DateMay 20, 2015

Last NPPES UpdateJanuary 24, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2024

✔ NPI 1053790329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 60926

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

200 1ST ST SW, Rochester, MN 55905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.Insurance ›

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. Dharma Budi Sunjaya 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 ID3274844931

PECOS Enrollment IDI20161121000860, I20230208001840

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 Reassignments

Medicare enrollment records show Dharma Sunjaya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.

60 mi

General Practice

15350 ENGLISH AVE
Apple Valley, MN 55124

Reassigned Medicare billing, Minnesota and Wisconsin enrollments
Also billed through NPI 1427420181 (Wisconsin)
2,274 clinicians in this Medicare group

NPI 1073668877 (952) 431-8583

Hudson Hospital, Inc.

66 mi

Critical Access

405 STAGELINE RD
Hudson, WI 54016

Reassigned Medicare billing, Wisconsin enrollment
180 clinicians in this Medicare group

NPI 1396849303 (715) 531-6000

Hennepin Healthcare System, Inc

76 mi

Home Health

825 S 8TH ST, SL10
Minneapolis, MN 55404

Reassigned Medicare billing, Minnesota enrollment
1,247 clinicians in this Medicare group

NPI 1962914333 (612) 617-4600

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

Areas of Expertise CMS Part B claims 12

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

66 services63 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

55 services54 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

39 services39 patients

31 services27 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

27 services26 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

26 services23 patients

Biopsy of large bowel using a flexible endoscope 45380

23 services22 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 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.

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services11 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240106

Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County

Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521335

Location405 Stageline RoadHudson, WI 54016 · St. Croix County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

EMILY LEASURE MD

Internal Medicine