BUDI WIRYAWAN MD
NPI 1609961739
Pediatrics - Pediatric Critical Care Medicine in Palo Alto, CA

Q: What is Budi Wiryawan's NPI number?

The NPI number for Budi Wiryawan is 1609961739. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Budi Wiryawan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Budi Wiryawan was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 04, 2006PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Budi Wiryawan Md NPPES

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

BUDI WIRYAWAN MD (NPI 1609961739) is an individual pediatric critical care medicine provider in Palo Alto, California, licensed in California (C136504) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609961739

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameBUDI WIRYAWANCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateApril 16, 2024

NPPES CertifiedApril 16, 2024

✔ NPI 1609961739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in CA · C136504✔ Licensed in AZ · 37457✔ Licensed in NY · 001976

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License C136504 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Other Identifiers 1

Medicaid02461374NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Budi Wiryawan Md 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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)