WILLY WIDJAYA M.D.
NPI 1629451463
Internal Medicine in Newark, DE

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2022, Jul 3, 2018 (2 updates tracked since 2018).

About Willy Widjaya M.d. NPPES

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

WILLY WIDJAYA M.D. (NPI 1629451463) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0012545) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629451463
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameWILLY WIDJAYACredential: M.D.
Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718-2200
Mailing Address4755 Ogletown Stanton Rd Ste 5a43Newark, DE 19718-2200 · (410) 368-8858
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 29, 2015
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
NPI 1629451463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in DE · C1-0012545 Licensed in MD · P31998
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.

4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718

Accepted Insurance

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

Willy Widjaya M.d. 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 ID2769781897
PECOS Enrollment IDI20180702001469
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
168 services167 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$49.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Infectious Disease)
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718

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 Willy Widjaya's NPI number?

The NPI number for Willy Widjaya is 1629451463. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Willy Widjaya located?

Willy Widjaya practices at 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.

What is Willy Widjaya's specialty?

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

Is Willy Widjaya enrolled in Medicare?

Yes. Willy Widjaya 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.

What insurance does Willy Widjaya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Willy Widjaya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Willy Widjaya affiliated with any hospitals?

According to CMS data, Willy Widjaya is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Willy Widjaya was last updated on January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.