DR. BAYU SUTARJONO MD
NPI 1578203246
Emergency Medicine in Brooklyn, NY
About Dr. Bayu Sutarjono Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BAYU SUTARJONO MD (NPI 1578203246) is an individual emergency medicine provider in Brooklyn, New York, licensed in New York (339711) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Brookdale Hospital Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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. Bayu Sutarjono 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.
Medicare Billing Reassignment
Medicare enrollment records show Bayu Sutarjono reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11213
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Interfaith Emergency Medicine PC
- 145 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Brookdale Hospital Medical Center
Acute Care Hospitals · Brooklyn, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BROOKLYN, NY 11212
BROOKLYN, NY 11212
BROOKLYN, NY 11212
BROOKLYN, NY 11212
BROOKLYN, NY 11212
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 Bayu Sutarjono's NPI number?
The NPI number for Bayu Sutarjono is 1578203246. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Bayu Sutarjono located?
Bayu Sutarjono practices at 1 Brookdale Plz, Brooklyn, NY 11212. The listed phone number is (347) 422-2024.
What is Bayu Sutarjono's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Bayu Sutarjono enrolled in Medicare?
Yes. Bayu Sutarjono 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 Bayu Sutarjono's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bayu Sutarjono reassigns Medicare benefits to Interfaith Emergency Medicine, P.C. (Brooklyn, NY). 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 Bayu Sutarjono's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Bayu Sutarjono affiliated with any hospitals?
According to CMS data, Bayu Sutarjono is affiliated with Brookdale Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Bayu Sutarjono was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Bayu Sutarjono, MD · NPI 1578203246
Emergency Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1578203246 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 339711 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 BROOKDALE PLZ, Brooklyn, NY 11212-3139
- **Phone:** (347) 422-2024
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Interfaith Emergency Medicine, P.C. (NPI 1457643785, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578203246) · Data from the CMS NPPES public registry.