YULIANTY D. KUSUMA MD
NPI 1265627145
Internal Medicine in Savannah, GA

Q: What is Yulianty Kusuma's NPI number?

The NPI number for Yulianty Kusuma is 1265627145. It was assigned to this individual provider in the NPPES registry on September 13, 2007. The provider is also known as Yulianty D. Heanacho MD.

Q: What is Yulianty Kusuma'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 Yulianty Kusuma was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 13, 2007PECOS EnrolledAccepts Medicare Assignment

6413 WATERS AVE, SUITE 102, SAVANNAH, GA 31406(912) 349-6624(912) 354-4694 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Yulianty D. Kusuma Md NPPES

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

YULIANTY D. KUSUMA MD (NPI 1265627145) is an individual internal medicine provider in Savannah, Georgia, licensed in Georgia (061279) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1265627145

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameYULIANTY D. KUSUMACredential: MD

Location Address6413 WATERS AVE, SUITE 102Savannah, GA 31406-2711

Mailing Address6413 Waters Ave, Suite 102Savannah, GA 31406-2711 · (912) 349-6624 · Fax (912) 354-4694

Phone(912) 349-6624

Fax(912) 354-4694

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateSeptember 13, 2007

Last NPPES UpdateAugust 25, 2015

✔ NPI 1265627145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 061279

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.

6413 WATERS AVE, Savannah, GA 31406

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Other Names 1

Former Name (1)Yulianty D. Heanacho Md

Other Identifiers 9

Medicaid007011626AGA

Medicare PIN511I110492GA

OtherP00649653GA · Rr Medicare

Medicare PIN202I112509GA

Other01279332Amerigroup

Other469648GA · Wellcare

OtherP01048571GA · Railroad Medicare

Other52233988GA · Bcbs

MedicaidG61279SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Yulianty D. Kusuma 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 ID8426121450

PECOS Enrollment IDI20080723000682

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 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.

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.

615 services264 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

159 services159 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

157 services157 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.

100 services100 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

87 services72 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

50 services50 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

33 services16 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

23 services20 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

23 services19 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

22 services22 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Candler Hospital

Acute Care Hospitals · Savannah, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110024

Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County

Emergency services Birthing friendly

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110036

Location4700 Waters AvenueSavannah, GA 31404 · Chatham County

Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110043

Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31406 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THAN WIN MD

Internal Medicine (Rheumatology)

6413 WATERS AVE, SUITE 101
SAVANNAH, GA 31406

Chatham County (912) 352-7960

INTERNAL MEDICINE OF SAVANNAH, LLC

Internal Medicine

6413 WATERS AVE, SUITE 102
SAVANNAH, GA 31406

Chatham County (912) 349-6624

DOREEN R. KEHOE N.P.

Nurse Practitioner (Adult Health)

6413 WATERS AVE, SUITE 102
SAVANNAH, GA 31406

Chatham County (912) 349-6624

WRIGHTINGTON RHEUMATOLOGY, LLC

Clinic/Center (Medical Specialty)

6413 WATERS AVE, STE 101
SAVANNAH, GA 31406

Chatham County (912) 352-7960

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 Yulianty Kusuma's NPI number?

The NPI number for Yulianty Kusuma is 1265627145. It was assigned to this individual provider in the NPPES registry on September 13, 2007. The provider is also known as Yulianty D. Heanacho MD.

Where is Yulianty Kusuma located?

Yulianty Kusuma practices at 6413 Waters Ave Suite 102, Savannah, GA 31406. The listed phone number is (912) 349-6624.

What is Yulianty Kusuma's specialty?

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

Is Yulianty Kusuma enrolled in Medicare?

Yes. Yulianty Kusuma 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 Yulianty Kusuma accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Yulianty Kusuma 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 Yulianty Kusuma affiliated with any hospitals?

According to CMS data, Yulianty Kusuma is affiliated with Candler Hospital, Memorial University Medical Center and St Joseph's Hospital - Savannah.

When was this NPI record last updated?

The NPPES record for Yulianty Kusuma was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.