DR. INDRAWAN HUSODO M.D.
NPI 1376541847
Anesthesiology in Bremerton, WA

Q: What is Indrawan Husodo's NPI number?

The NPI number for Indrawan Husodo is 1376541847. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Q: What is Indrawan Husodo's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Indrawan Husodo was last updated on January 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 July 08, 2005PECOS EnrolledAccepts Medicare Assignment

990 SYLVAN WAY, BREMERTON, WA 98310(360) 479-3657(360) 373-7616 Get Directions Write a Review

NPPES record last updated: January 21, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Indrawan Husodo M.d. NPPES

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

DR. INDRAWAN HUSODO M.D. (NPI 1376541847) is an individual anesthesiology provider in Bremerton, Washington, licensed in Washington (MD00028376) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1376541847

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. INDRAWAN HUSODOCredential: M.D.

Location Address990 SYLVAN WAYBremerton, WA 98310-2851

Mailing Address990 Sylvan WayBremerton, WA 98310-2851 · (360) 479-3657 · Fax (360) 373-7616

Phone(360) 479-3657

Fax(360) 373-7616

Sole ProprietorNo

Medical School CMSOtherGraduated 1979

Enumeration DateJuly 8, 2005

Last NPPES UpdateJanuary 21, 2009

✔ NPI 1376541847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in WA · MD00028376

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

990 SYLVAN WAY, Bremerton, WA 98310

Open in Google Maps ↗

Other Identifiers 10

Other72669WA · Labor And Industries

Medicare UPINE90896WA

Medicare ID-Type Unspecified000200962WA · Medicare

Other050042796WA · Railroad Medciare

Medicaid8132292WA

Other91084721521WA · Kps

Other06487001WA · Group Health Corp

OtherHU0090WA · Regence Blue Shield

Other8933482WA · Victims Of Crime

Other910847215WA · Premera Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.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. Indrawan Husodo M.d. 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 ID7113814633

PECOS Enrollment IDI20101104001390

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.

Medicare Billing Reassignment

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

Olympic Anesthesia Services, Inc

Same address

Anesthesiology

990 SYLVAN WAY
Bremerton, WA 98310

Reassigned Medicare billing, Washington enrollment
64 clinicians in this Medicare group

NPI 1275586125 (360) 479-3657

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 8

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.

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

39 services38 patients

Anesthesia for procedure on chest with 1 lung inflated 00541

This procedure involves using anesthesia to ensure you feel no pain during a chest procedure where only one lung is inflated. It's a specialized technique that allows doctors to operate on one lung while the other continues to provide oxygen.

23 services23 patients

Anesthesia for shock wave therapy for urinary system stones without water bath 00873

Anesthesia for shock wave therapy helps in comfortably breaking down urinary system stones. This is done without a water bath, using a device that sends shock waves to disintegrate the stones into small pieces, making them easier to pass naturally.

20 services20 patients

Anesthesia for removal of prostate including use of an endoscope 00914

Anesthesia is used during the removal of the prostate to ensure you feel no discomfort. An endoscope, a thin tube with a camera, aids in viewing the area. This procedure involves the careful administration of medicines to help you sleep and prevent pain.

17 services17 patients

Anesthesia for placement or revision of blood flow shunt 01844

Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.

15 services12 patients

Anesthesia for extensive removal of prostate 00865

Anesthesia is a crucial part of the procedure for extensive removal of a certain gland located in the lower abdomen. It helps ensure you don't feel pain during the procedure. There are two types: general, where you're unconscious, and regional, where only a part of your body is numb.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500039

Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County

Emergency services Birthing friendly

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.

DR. HENRY NGUYEN MD

Anesthesiology