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HEIDI B SUTANTO M.D.
NPI 1457563199
Internal Medicine in Fort Belvoir, VA

Active since May 04, 2007PECOS Enrolled
9300 DEWITT LOOP, OAKS PAVILION, 1ST FLOOR, FORT BELVOIR, VA 22060(571) 231-3110(571) 231-6697 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2019, Sep 14, 2018 (2 updates tracked since 2018).

About Heidi B Sutanto M.d. NPPES

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

HEIDI B SUTANTO M.D. (NPI 1457563199) is an individual internal medicine provider in Fort Belvoir, Virginia, licensed in Arizona (40828) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457563199
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHEIDI B SUTANTOCredential: M.D.
Location Address9300 DEWITT LOOP, OAKS PAVILION, 1ST FLOORFort Belvoir, VA 22060
Mailing Address9300 Dewitt LoopFort Belvoir, VA 22060-5285 · (571) 231-3110 · Fax (571) 231-6697
Phone(571) 231-3110
Fax(571) 231-6697
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateJanuary 30, 20192 updates tracked since enumeration
✔ NPI 1457563199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 40828
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.
Also ListedPediatricsTaxonomy 208000000X · License 40828 (AZ)
9300 DEWITT LOOP, Fort Belvoir, VA 22060
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi B Sutanto M.d. 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 22060 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

DR. ASHLEY L MALTEZ-LAURIENTI PSY.D.
Counselor (Mental Health)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (712) 313-2245
MEGAN ANNE KELLY COTA
Occupational Therapy Assistant
9300 DEWITT LOOP
FT BELVOIR, VA 22060
Fairfax County (571) 231-1321
MS. SHANNON NOELLE FULCROD LCSW, CSAC, MAC
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1200
CALE WRIGHT PSYD
Psychologist (Clinical Child & Adolescent)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-0524
SPENCER OSBOURN
Psychiatry & Neurology (Neurology)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-2966
HEATHER R BARAL
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
UMAR KHAN
Orthopaedic Surgery
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-3224
DAVID PITTS JR. DO
General Practice
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Fairfax County (571) 231-1803

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 Heidi Sutanto's NPI number?

The NPI number for Heidi Sutanto is 1457563199. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Heidi Sutanto located?

Heidi Sutanto practices at 9300 Dewitt Loop Oaks Pavilion, 1st Floor, Fort Belvoir, VA 22060. The listed phone number is (571) 231-3110.

What is Heidi Sutanto's specialty?

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

Is Heidi Sutanto enrolled in Medicare?

Yes. Heidi Sutanto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heidi Sutanto was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.