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DION ADIPUTRA KENCANA MD
NPI 1528709805
Internal Medicine in Montclair, CA

Active since April 02, 2022PECOS EnrolledAccepts Medicare Assignment
9525 MONTE VISTA AVE UNIT 105, MONTCLAIR, CA 91763(909) 626-1205 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dion Adiputra Kencana Md NPPES

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

DION ADIPUTRA KENCANA MD (NPI 1528709805) is an individual internal medicine provider in Montclair, California, licensed in California (200899) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1528709805
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDION ADIPUTRA KENCANACredential: MD
Location Address9525 MONTE VISTA AVE UNIT 105Montclair, CA 91763-2208
Mailing Address9525 Monte Vista Ave Unit 105Montclair, CA 91763-2208
Phone(909) 626-1205
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 2, 2022
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1528709805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 200899
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.
9525 MONTE VISTA AVE UNIT 105, Montclair, CA 91763
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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 and accepts Medicare assignment

Dion Adiputra Kencana 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 ID7416438171
PECOS Enrollment IDI20260220003468
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 91763 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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

THA SOK DO
Internal Medicine
9525 MONTE VISTA AVE UNIT 105
MONTCLAIR, CA 91763
San Bernardino County (909) 626-1205
KENCANA HEALTHCARE INC
Internal Medicine
9525 MONTE VISTA AVE UNIT 105
MONTCLAIR, CA 91763
San Bernardino County (909) 626-1205

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 Dion Kencana's NPI number?

The NPI number for Dion Kencana is 1528709805. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Dion Kencana located?

Dion Kencana practices at 9525 Monte Vista Ave Unit 105, Montclair, CA 91763. The listed phone number is (909) 626-1205.

What is Dion Kencana's specialty?

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

Is Dion Kencana enrolled in Medicare?

Yes. Dion Kencana 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 Dion Kencana was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.