DR. SUSANTI RAHAJU IE MD
NPI 1215910781
Internal Medicine - Pulmonary Disease in Roanoke, VA

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
2001 CRYSTAL SPRING AVE SW, SUITE 300, ROANOKE, VA 24014(540) 985-8505 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susanti Rahaju Ie Md NPPES

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

DR. SUSANTI RAHAJU IE MD (NPI 1215910781) is an individual pulmonary disease provider in Roanoke, Virginia, licensed in Virginia (0101244044) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Tulane University School Of Medicine (1993).

NPPES Registry Identity

NPI1215910781
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SUSANTI RAHAJU IECredential: MD
Location Address2001 CRYSTAL SPRING AVE SW, SUITE 300Roanoke, VA 24014-2462
Mailing Address2001 Crystal Spring Ave Sw, Suite 300Roanoke, VA 24014-2462 · (540) 985-8505
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1993
Enumeration DateNovember 29, 2005
Last NPPES UpdateApril 4, 2017
NPI 1215910781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in VA · 0101244044 Licensed in GA · 050640
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 050640 (GA)
2001 CRYSTAL SPRING AVE SW, Roanoke, VA 24014

Other Identifiers 10

Other290014160GA · Railroad Medicare
Medicaid00927616AGA
Other874218GA · Blue Cross Blue Shield
Other7024155Aetna
Medicare ID-Type Unspecified29BDCGJGA
Other1944925001Cigna
Medicare UPINH22046
Other0932200001GA · Workers Compensation
Other5791203Ghi
Other4800175United Healthcare

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

Dr. Susanti Rahaju Ie 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 ID4486718459
PECOS Enrollment IDI20090205000704
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 15

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
197 services72 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
171 services169 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.
122 services77 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services63 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
73 services73 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
64 services64 patients

Hospital Affiliations CMS Care Compare 4

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490042
Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County
Emergency services Birthing friendly

Sovah Health Danville

Acute Care Hospitals · Danville, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490075
Location142 South Main StreetDanville, VA 24541 · Danville City County
Emergency services Birthing friendly

Carilion Franklin Memorial Hospital

Acute Care Hospitals · Rocky Mount, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490089
Location180 Floyd AvenueRocky Mount, VA 24151 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers28 claims28 services$36.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers57 claims57 services$84.43 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers56 claims138 services$34.60 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers43 claims220 services$19.74 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers11 claims64 services$15.25 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers45 claims45 services$57.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014
Nurse Practitioner (Family)
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014
Internal Medicine (Infectious Disease)
2001 CRYSTAL SPRING AVE SW, SUITE 301
ROANOKE, VA 24014
Physician Assistant
2001 CRYSTAL SPRING AVE SW, SUITE 201
ROANOKE, VA 24014
Dietitian, Registered
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014
Specialist
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014
Physician Assistant (Medical)
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014

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 Susanti Ie's NPI number?

The NPI number for Susanti Ie is 1215910781. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Susanti Ie located?

Susanti Ie practices at 2001 Crystal Spring Ave SW Suite 300, Roanoke, VA 24014. The listed phone number is (540) 985-8505.

What is Susanti Ie's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Susanti Ie enrolled in Medicare?

Yes. Susanti Ie 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 Susanti Ie affiliated with any hospitals?

According to CMS data, Susanti Ie is affiliated with Carilion Medical Center, Carilion New River Valley Medical Center, Sovah Health Danville and Carilion Franklin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Susanti Ie was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.