1. Home
  2. Directory
  3. Connecticut
  4. New Haven
  5. Emergency Medicine
  6. NPI Profile

DR. DARRELL SUTIJONO MD
NPI 1508061474
Emergency Medicine in New Haven, CT

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment
464 CONGRESS AVE, SUITE 260, NEW HAVEN, CT 06519(203) 785-3637 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Darrell Sutijono Md NPPES

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

DR. DARRELL SUTIJONO MD (NPI 1508061474) is an individual emergency medicine provider in New Haven, Connecticut, licensed in Connecticut (047403) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1508061474
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DARRELL SUTIJONOCredential: MD
Location Address464 CONGRESS AVE, SUITE 260New Haven, CT 06519-1361
Mailing Address120 Greenwich St, #9jNew York, NY 10006-1500
Phone(203) 785-3637
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 19, 2007
Last NPPES UpdateDecember 15, 2021
✔ NPI 1508061474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CT · 047403✔ Licensed in NY · 250087-1✔ Licensed in CA · A106810
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
464 CONGRESS AVE, New Haven, CT 06519
Open in Google Maps ↗

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. Darrell Sutijono Md 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 ID8921153511
PECOS Enrollment IDI20101026001172
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 06519 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

SAMUEL BUCK
Emergency Medicine
464 CONGRESS AVE, SUITE #260
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 737-2644
DR. DANIEL SETH GREENSTEIN MD
Emergency Medicine
464 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-4242
MR. JONATHAN MELDRUM MD
Emergency Medicine
464 CONGRESS AVE, SUITE #260
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 737-2644
DR. LISA CLAIRE SANDER MD
Emergency Medicine
464 CONGRESS AVE, STE 260
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2353
MS. MARGOT EBLING M.M.SC., PA-C
Physician Assistant (Medical)
464 CONGRESS AVE, SUITE 260
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (917) 647-2962
MATTHEW KENNETH JAMES MD
Emergency Medicine
464 CONGRESS AVE, SUITE 260
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-5174
DR. RICHARD RECHENMACHER M.D.
Emergency Medicine
464 CONGRESS AVE, SUITE 260
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-5174
MR. CHRISTOPHER DILL PA-C
Physician Assistant
464 CONGRESS AVE, SUITE 260
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-4404

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 Darrell Sutijono's NPI number?

The NPI number for Darrell Sutijono is 1508061474. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Darrell Sutijono located?

Darrell Sutijono practices at 464 Congress Ave Suite 260, New Haven, CT 06519. The listed phone number is (203) 785-3637.

What is Darrell Sutijono's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Darrell Sutijono enrolled in Medicare?

Yes. Darrell Sutijono 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.

When was this NPI record last updated?

The NPPES record for Darrell Sutijono was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.