DR. BUDIARTO RANOEWIDJOJO D.O.
NPI 1417187352
Emergency Medicine in New York, NY
About Dr. Budiarto Ranoewidjojo D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BUDIARTO RANOEWIDJOJO D.O. (NPI 1417187352) is an individual emergency medicine provider in New York, New York, licensed in New York (253948) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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. Budiarto Ranoewidjojo D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Budiarto Ranoewidjojo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 676 clinicians in this Medicare group
New York, NY 10027
- Reassigned Medicare billing, New York enrollment
- 596 clinicians in this Medicare group
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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10037
NEW YORK, NY 10037
NEW YORK, NY 10037
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 Budiarto Ranoewidjojo's NPI number?
The NPI number for Budiarto Ranoewidjojo is 1417187352. It was assigned to this individual provider in the NPPES registry on July 24, 2009.
Where is Budiarto Ranoewidjojo located?
Budiarto Ranoewidjojo practices at 506 Lenox Ave, New York, NY 10037. The listed phone number is (212) 939-2251.
What is Budiarto Ranoewidjojo's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Budiarto Ranoewidjojo enrolled in Medicare?
Yes. Budiarto Ranoewidjojo 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 organizations bill Medicare for Budiarto Ranoewidjojo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Budiarto Ranoewidjojo reassigns Medicare benefits to 2 organizations: Harlem Medical Associates PC (New York, NY) and City Medical Of Upper East Side, PLLC (New York, NY). Each 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 Budiarto Ranoewidjojo'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 Budiarto Ranoewidjojo was last updated on July 24, 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.
# Dr. Budiarto Ranoewidjojo, D.O. · NPI 1417187352
Emergency Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 24, 2009.
## Identity
- **NPI:** 1417187352 (Entity type: Individual)
- **Enumerated:** July 24, 2009
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 253948 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 506 LENOX AVE, New York, NY 10037-1802
- **Phone:** (212) 939-2251
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Harlem Medical Associates PC (NPI 1487957692, New York, NY); City Medical Of Upper East Side, PLLC (NPI 1609263219, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 24, 2009
---
Source: [NPI Profile](https://npiprofile.com/npi/1417187352) · Data from the CMS NPPES public registry.