FAIZ ENDRO KUSUMO MD
NPI 1619461696
Student in an Organized Health Care Education/Training Program in Fresno, CA
About Faiz Endro Kusumo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIZ ENDRO KUSUMO MD (NPI 1619461696) is an individual student in an organized health care education/training program in Fresno, California and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
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.
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
Faiz Endro Kusumo 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.
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.
FRESNO, CA 93720
FRESNO, CA 93720
FRESNO, CA 93720
FRESNO, CA 93720
FRESNO, CA 93720
FRESNO, CA 93720
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619461696, enumerated as an "individual" on June 21, 2018.
The provider is located at 1313 E HERNDON AVE FRESNO, CA 93720 and the phone number is (559) 450-5375.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
