DR. DANIEL SUSANTO MD
NPI 1144364605
Radiology - Neuroradiology in Lynnwood, WA
About Dr. Daniel Susanto Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DANIEL SUSANTO MD (NPI 1144364605) is an individual neuroradiology provider in Lynnwood, Washington, licensed in Washington (MD60083485) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and maintains a secondary practice location in Tonasket.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 6
Accepted 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. Daniel Susanto 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.
Medicare Billing Reassignments
26Medicare enrollment records show Daniel Susanto reassigns Medicare billing to 26 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lynnwood, WA 98036
- Reassigned Medicare billing, California, Idaho and Washington enrollments
- Also billed through NPI 1700045572 (Washington)
- 28 clinicians in this Medicare group
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 589 clinicians in this Medicare group
Edmonds, WA 98026
- Reassigned Medicare billing, California and Washington enrollments
- 20 clinicians in this Medicare group
Everett, WA 98208
- Reassigned Medicare billing, Washington enrollment
- 194 clinicians in this Medicare group
Kirkland, WA 98034
- Reassigned Medicare billing, California and Washington enrollments
- 18 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 1,285 clinicians in this Medicare group
Seattle, WA 98101
- Reassigned Medicare billing, Washington enrollment
- 663 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, California and Washington enrollments
- 13 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 1,270 clinicians in this Medicare group
Snoqualmie, WA 98065
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1902846546 (Washington), NPI 1144432634 (Washington)
- 17 clinicians in this Medicare group
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 26
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Rogue Regional Medical Center
Acute Care Hospitals · Medford, ORProvidence Regional Medical Center Everett
Acute Care Hospitals · Everett, WAProvidence St Peter Hospital
Acute Care Hospitals · Olympia, WASwedish Medical Center / Cherry Hill
Acute Care Hospitals · Seattle, WAOverlake Hospital Medical Center
Acute Care Hospitals · Bellevue, WAMedicare 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.
Reported Quality Measures
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.
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
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 Daniel Susanto's NPI number?
The NPI number for Daniel Susanto is 1144364605. It was assigned to this individual provider in the NPPES registry on February 17, 2007.
Where is Daniel Susanto located?
Daniel Susanto practices at 19020 33rd Ave W Ste 210, Lynnwood, WA 98036. The listed phone number is (425) 563-1500.
What is Daniel Susanto's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.
Is Daniel Susanto enrolled in Medicare?
Yes. Daniel Susanto 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.
Which organizations bill Medicare for Daniel Susanto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Susanto reassigns Medicare benefits to 26 organizations: Radia Inc P S (Lynnwood, WA), Proliance Surgeons, Inc., P.S. (Mountlake Terrace, WA), Swedish Radia Imaging Center At Edmonds LLC (Edmonds, WA), Swedish Health Services (Everett, WA), Evergreen Radia LLC (Kirkland, WA) and 21 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Susanto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Daniel Susanto accept?
Health plans from Health Advantage, Octave and Premera Blue Cross Blue Shield of Alaska list Daniel Susanto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Daniel Susanto affiliated with any hospitals?
According to CMS data, Daniel Susanto is affiliated with Asante Rogue Regional Medical Center, Providence Regional Medical Center Everett, Providence St Peter Hospital, Swedish Medical Center / Cherry Hill and Overlake Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Daniel Susanto was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Daniel Susanto, MD · NPI 1144364605
Neuroradiology physician in Lynnwood, Washington. Individual provider, active in the CMS NPPES registry since February 17, 2007.
## Identity
- **NPI:** 1144364605 (Entity type: Individual)
- **Enumerated:** February 17, 2007
- **Primary specialty:** Radiology - Neuroradiology · taxonomy 2085N0700X
- **State license:** MD60083485 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 19020 33RD AVE W STE 210, Lynnwood, WA 98036-4748
- **Phone:** (425) 563-1500 · **Fax:** (425) 563-1501
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 26 organizations under Medicare reassignment (form CMS-855R): Radia Inc P S (NPI 1932196607, Lynnwood, WA); Proliance Surgeons, Inc., P.S. (NPI 1184140477, Mountlake Terrace, WA); Swedish Radia Imaging Center At Edmonds LLC (NPI 1164494373, Edmonds, WA); Swedish Health Services (NPI 1114356904, Everett, WA); Evergreen Radia LLC (NPI 1922095694, Kirkland, WA); and 21 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2004
## Record status
- **NPPES last updated:** February 11, 2026
- **Other identifiers:** Medicaid 1144364605 (ID); Other 263299 (WA); Medicaid 1584895 (AK); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1144364605) · Data from the CMS NPPES public registry.