DR. ABRAHAM W WIDJAJA DC
NPI 1487334454
Chiropractor in Minneapolis, MN

Active since July 24, 2023Accepts Medicare Assignment
2201 HENNEPIN AVE, MINNEAPOLIS, MN 55405(612) 377-7760 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2024, Jul 24, 2023 (2 updates tracked since 2023).

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

NPI1487334454
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ABRAHAM W WIDJAJACredential: DC
Location Address2201 HENNEPIN AVEMinneapolis, MN 55405-2738
Mailing Address1770 Bryant Ave S Apt 201Minneapolis, MN 55403-3140 · (712) 212-1236
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2023
Enumeration DateJuly 24, 2023
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1487334454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 7123
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2201 HENNEPIN AVE, Minneapolis, MN 55405

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9537522727
PECOS Enrollment IDI20230906001989

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.

Chiropractor
2201 HENNEPIN AVE
MINNEAPOLIS, MN 55405
Acupuncturist
2201 HENNEPIN AVE
MINNEAPOLIS, MN 55405
Chiropractor
2201 HENNEPIN AVE
MINNEAPOLIS, MN 55405
Acupuncturist
2201 HENNEPIN AVE
MINNEAPOLIS, MN 55405

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.

What insurance does Abraham Widjaja accept?

Health plans from HealthPartners and Medica 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 with the weekly NPPES data releases published by CMS.