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MR. INDRA SOERJA OETOMO PT, LAC
NPI 1326005745
Acupuncturist in Highlands Ranch, CO

Active since April 28, 2006Accepts Medicare Assignment
8955 S RIDGELINE BLVD, SUITE 400, HIGHLANDS RANCH, CO 80129(303) 683-8338(303) 683-8809 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Indra Soerja Oetomo Pt, Lac NPPES

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

MR. INDRA SOERJA OETOMO PT, LAC (NPI 1326005745) is an individual acupuncturist in Highlands Ranch, Colorado, licensed in Colorado (978) and active in the NPI registry since April 2006. He is a graduate of Other (1984).

NPPES Registry Identity

NPI1326005745
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameMR. INDRA SOERJA OETOMOCredential: PT, LAC
Location Address8955 S RIDGELINE BLVD, SUITE 400Highlands Ranch, CO 80129-2362
Mailing Address8955 S Ridgeline Blvd, Suite 400Highlands Ranch, CO 80129-2362 · (303) 683-8338 · Fax (303) 683-8809
Phone(303) 683-8338
Fax(303) 683-8809
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateApril 28, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1326005745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CO · 978
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 3579 (CO)
8955 S RIDGELINE BLVD, Highlands Ranch, CO 80129
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Other Names 1

Professional Name (2)Mr. Rory Oetomo Pt, Lac

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

Mr. Indra Soerja Oetomo Pt, Lac 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 ID8224928460
PECOS Enrollment IDI20040614000456

Medicare Billing Reassignment

Medicare enrollment records show Indra Oetomo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meromed Physiotherapy Centre, LLC
Acupuncturist
8955 RIDGELINE BLVD STE 400
Highlands Ranch, CO 80129
  • Reassigned Medicare billing, Colorado enrollment
NPI 1902983950 (303) 683-8338

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 6

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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,328 services66 patients
Application of electrical stimulation with therapist present, each 15 minutes 97032
Electrical stimulation is a therapeutic treatment that sends light electrical pulses to a specific area of your body. This is done under the supervision of a therapist for 15-minute intervals. It can reduce pain, stimulate muscles, and improve circulation.
308 services38 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
302 services38 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
112 services14 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
73 services63 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
45 services42 patients

Other Providers at the Same Location NPPES 2

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

ACTION BEHAVIOR CENTERS LLC
Behavior Analyst
8955 S RIDGELINE BLVD, STE 1000
HIGHLANDS RANCH, CO 80129
Douglas County (720) 259-5503
ACTION BEHAVIOR CENTERS, LLC
Psychologist
8955 S RIDGELINE BLVD, SUITE 1000
HIGHLANDS RANCH, CO 80129
Douglas County (720) 259-5503

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 Indra Oetomo's NPI number?

The NPI number for Indra Oetomo is 1326005745. It was assigned to this individual provider in the NPPES registry on April 28, 2006. The provider is also known as Mr. Rory Oetomo Pt, Lac.

Where is Indra Oetomo located?

Indra Oetomo practices at 8955 S Ridgeline Blvd Suite 400, Highlands Ranch, CO 80129. The listed phone number is (303) 683-8338.

What is Indra Oetomo's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Is Indra Oetomo enrolled in Medicare?

Yes. Indra Oetomo 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 organization bills Medicare for Indra Oetomo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Indra Oetomo reassigns Medicare benefits to Meromed Physiotherapy Centre, LLC (Highlands Ranch, CO). The 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 Indra Oetomo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Indra Oetomo was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.