KENNY SUSANTO MD
NPI 1255783270
Psychiatry & Neurology - Neurology in Tulsa, OK
About Kenny Susanto Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNY SUSANTO MD (NPI 1255783270) is an individual neurology provider in Tulsa, Oklahoma, licensed in Oklahoma (38794) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kenny 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St John Jane Phillips
Acute Care Hospitals · Bartlesville, OKAscension St John Medical Center
Acute Care Hospitals · Tulsa, OKAscension St John Broken Arrow
Acute Care Hospitals · Broken Arrow, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
TULSA, OK 74104
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 Kenny Susanto's NPI number?
The NPI number for Kenny Susanto is 1255783270. It was assigned to this individual provider in the NPPES registry on July 2, 2016.
Where is Kenny Susanto located?
Kenny Susanto practices at 2000 S Wheeling Ave Ste 701, Tulsa, OK 74104. The listed phone number is (918) 748-7810.
What is Kenny Susanto's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Kenny Susanto enrolled in Medicare?
Yes. Kenny 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.
What insurance does Kenny Susanto accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and Mending Health list Kenny 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 Kenny Susanto affiliated with any hospitals?
According to CMS data, Kenny Susanto is affiliated with Ascension St John Jane Phillips, Ascension St John Medical Center and Ascension St John Broken Arrow.
When was this NPI record last updated?
The NPPES record for Kenny Susanto was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.