DR. ABRAHAM W WIDJAJA DC
NPI 1487334454
Chiropractor in Minneapolis, MN
About Dr. Abraham W Widjaja Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ABRAHAM W WIDJAJA DC (NPI 1487334454) is an individual chiropractor in Minneapolis, Minnesota, licensed in Minnesota (7123) and active in the NPI registry since July 2023. He is a graduate of Northwestern College Of Chiropractic (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Abraham W Widjaja Dc 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 Reassignment
Medicare enrollment records show Abraham Widjaja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55405
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Uptown Natural Care Center PA
- 2 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Abraham Widjaja's NPI number?
The NPI number for Abraham Widjaja is 1487334454. It was assigned to this individual provider in the NPPES registry on July 24, 2023.
Where is Abraham Widjaja located?
Abraham Widjaja practices at 2201 Hennepin Ave, Minneapolis, MN 55405. The listed phone number is (612) 377-7760.
What is Abraham Widjaja's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Abraham Widjaja enrolled in Medicare?
Yes. Abraham Widjaja 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 Abraham Widjaja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abraham Widjaja reassigns Medicare benefits to Uptown Natural Care Center, P.A. (Minneapolis, MN). 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 Abraham Widjaja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abraham Widjaja accept?
Health plans from HealthPartners list Abraham Widjaja 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 Abraham Widjaja was last updated on May 16, 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.
# Dr. Abraham W Widjaja, DC · NPI 1487334454
Chiropractor provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since July 24, 2023.
## Identity
- **NPI:** 1487334454 (Entity type: Individual)
- **Enumerated:** July 24, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 7123 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2201 HENNEPIN AVE, Minneapolis, MN 55405-2738
- **Phone:** (612) 377-7760
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Uptown Natural Care Center, P.A. (NPI 1366597320, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern College Of Chiropractic, class of 2023
## Record status
- **NPPES last updated:** May 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487334454) · Data from the CMS NPPES public registry.