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SYIFA RAHMADIANPUTRI DJUNAEDI DO
NPI 1598495277
Student in an Organized Health Care Education/Training Program in Flint, MI

Active since June 15, 2022PECOS Enrolled
401 S BALLENGER HWY, FLINT, MI 48532(810) 342-2000(810) 342-3659 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Syifa Rahmadianputri Djunaedi Do NPPES

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

SYIFA RAHMADIANPUTRI DJUNAEDI DO (NPI 1598495277) is an individual student in an organized health care education/training program in Flint, Michigan, licensed in Michigan (5151017557) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598495277
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSYIFA RAHMADIANPUTRI DJUNAEDICredential: DO
Location Address401 S BALLENGER HWYFlint, MI 48532-3638
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638 · (810) 342-2000 · Fax (810) 342-3659
Phone(810) 342-2000
Fax(810) 342-3659
Sole ProprietorNo
Enumeration DateJune 15, 2022
Last NPPES UpdateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1598495277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 5151017557
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
401 S BALLENGER HWY, Flint, MI 48532
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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 (PECOS)

Syifa Rahmadianputri Djunaedi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MR. DUNYUE LU M.D.
Psychiatry & Neurology (Psychiatry)
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-4419
REBECCA S MOODY CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
PONGCHAYUT SURAPIPITH MD
Surgery
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-1000
NICOLE ELISE WESLEY CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY, ATTN SURGICAL SERVICES
FLINT, MI 48532
Genesee County (810) 342-4917
MARY ELLEN RINKS P.T.
Physical Therapist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2362
MCLAREN FLINT
Hospitalist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
CATHERINE TALLEY
Occupational Therapist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
BRENT ALLEN SCOTT CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY, ATTN SURGICAL SERVICES
FLINT, MI 48532
Genesee County (810) 342-4917

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 Syifa Djunaedi's NPI number?

The NPI number for Syifa Djunaedi is 1598495277. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Syifa Djunaedi located?

Syifa Djunaedi practices at 401 S Ballenger Hwy, Flint, MI 48532. The listed phone number is (810) 342-2000.

What is Syifa Djunaedi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Syifa Djunaedi enrolled in Medicare?

Yes. Syifa Djunaedi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Syifa Djunaedi was last updated on June 18, 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.