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KURNIAWAN TEJA MSN, CRNP, FNP-BC
NPI 1427759273
Nurse Practitioner - Family in Philadelphia, PA

Active since March 16, 2023PECOS Enrolled
321 W GIRARD AVE, PHILADELPHIA, PA 19123(213) 685-3800 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Mar 16, 2023 (2 updates tracked since 2023).

About Kurniawan Teja Msn, Crnp, Fnp-bc NPPES

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

KURNIAWAN TEJA MSN, CRNP, FNP-BC (NPI 1427759273) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027170) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427759273
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKURNIAWAN TEJACredential: MSN, CRNP, FNP-BC
Location Address321 W GIRARD AVEPhiladelphia, PA 19123-1531
Mailing Address321 W Girard AvePhiladelphia, PA 19123-1531 · (215) 685-3800
Phone(213) 685-3800
Sole ProprietorYes
Enumeration DateMarch 16, 2023
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1427759273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP027170
321 W GIRARD AVE, Philadelphia, PA 19123
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kurniawan Teja Msn, Crnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19123 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

CITY OF PHILADELPHIA
Clinic/Center (Federally Qualified Health Center (FQHC))
321 W GIRARD AVE
PHILADELPHIA, PA 19123
Philadelphia County (215) 685-3808
ANDREA ARNITA JACKSON CRNP
Nurse Practitioner (Family)
321 W GIRARD AVE
PHILADELPHIA, PA 19123
Philadelphia County (215) 685-6808
CHRISTINA EVANS MD, MPH
Internal Medicine
321 W GIRARD AVE
PHILADELPHIA, PA 19123
Philadelphia County (978) 886-4119
DR. KAREN WIRTH RENDULICH M.D.
Pediatrics
321 W GIRARD AVE, HEALTH CARE CENTER #6
PHILADELPHIA, PA 19123
Philadelphia County (215) 685-3803
HANNAH LAMPERT MD
Internal Medicine
321 W GIRARD AVE
PHILADELPHIA, PA 19123
Philadelphia County (215) 685-3803
ALICIA PAGAN
Pharmacy Technician
321 W GIRARD AVE
PHILADELPHIA, PA 19123
Philadelphia County (215) 685-3822
DR. ADA IRIS CANINO M.D.
Internal Medicine
321 W GIRARD AVE, HEALTH CARE CENTER #6
PHILADELPHIA, PA 19123
Philadelphia County (215) 685-3803
DR. LISA JITENDRA SHAH DO
Family Medicine
321 W GIRARD AVE
PHILADELPHIA, PA 19123
Philadelphia County (215) 685-3808

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 Kurniawan Teja's NPI number?

The NPI number for Kurniawan Teja is 1427759273. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Kurniawan Teja located?

Kurniawan Teja practices at 321 W Girard Ave, Philadelphia, PA 19123. The listed phone number is (213) 685-3800.

What is Kurniawan Teja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kurniawan Teja enrolled in Medicare?

Yes. Kurniawan Teja is registered in the Medicare PECOS enrollment system.

What insurance does Kurniawan Teja accept?

Health plans from CareSource list Kurniawan Teja 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.

When was this NPI record last updated?

The NPPES record for Kurniawan Teja was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.