CONG ZHOU SANTOSO M.D.
NPI 1659613057
Internal Medicine in Fairfield, CA

NPI Status: Active since March 23, 2013

Contact Information

101 BODIN CIR
DAVID GRANT USAF MEDICAL CENTER
FAIRFIELD, CA
ZIP 94535
Phone: (707) 423-7342

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  • Individual
  • Female
  • Internal Medicine
  • PECOS Enrolled

About CONG SANTOSO

This page provides the complete NPI Profile along with additional information for Cong Santoso, an internist established in Fairfield, California with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1659613057 assigned on March 2013. The practitioner's primary taxonomy code is 207R00000X with license number 0101257154 (VA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1659613057
Provider Name
CONG ZHOU SANTOSO M.D.
Gender
Female
Entity Type
Individual
Location Address
101 BODIN CIR DAVID GRANT USAF MEDICAL CENTER FAIRFIELD, CA 94535
Location Phone
(707) 423-7342
Mailing Address
60 MDG/SGOMI 101 BODIN CIR TRAVIS AFB, CA 94535
Mailing Phone
(707) 423-7342
Is Sole Proprietor?
No
Enumeration Date
03-23-2013
Last Update Date
12-21-2021
Code Navigator

An internist like Cong Santoso is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
0101257154
License State
VA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Cong Santoso is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94535 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $145.83
  • Minimum New Patient Price $65.02
  • Maximum New Patient Price $191.95
  • Average New Patient Copayment $36.45
  • Minimum New Patient Copayment $16.25
  • Maximum New Patient Copayment $47.98

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $113.05
  • Minimum Established Patient Price $21.86
  • Maximum Established Patient Price $157.69
  • Average Established Patient Copayment $28.26
  • Minimum Established Patient Copayment $5.46
  • Maximum Established Patient Copayment $39.42

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1659613057, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 2 + 1 + 6 + 0 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1659613057.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
101 BODIN CIR, DAVID GRANT MEDICAL CENTER / 60TH DENTAL SQUADRON
TRAVIS AFB, CA 94535
Pediatrics (Pediatric Hematology-Oncology)
101 BODIN CIR, DEPARTMENT OF PEDIATRICS
TRAVIS AFB, CA 94535
Internal Medicine (Cardiovascular Disease)
101 BODIN CIR
TRAVIS AFB, CA 94535
Preventive Medicine (Undersea and Hyperbaric Medicine)
101 BODIN CIR
TRAVIS AFB, CA 94535
Clinical Neuropsychologist
101 BODIN CIR, DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535
Social Worker (Clinical)
101 BODIN CIR
TRAVIS AFB, CA 94535
Family Medicine (Sports Medicine)
101 BODIN CIR, 60TH MDOS/SGOL
TRAVIS AFB, CA 94535
Nurse Anesthetist, Certified Registered
101 BODIN CIR, 60 MDG/SGCSA
TRAVIS AFB, CA 94535
Dietitian, Registered
101 BODIN CIR, 60 MDTS/SGQD
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR, 60TH DENTAL SQUADRON/SGDT
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Nurse Anesthetist, Certified Registered
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (Orthodontics and Dentofacial Orthopedics)
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (Periodontics)
101 BODIN CIR, 60TH DENTAL SQUADRON (AMC)- DEPARTMENT OF THE AIR FORCE
TRAVIS AFB, CA 94535
Dentist (Endodontics)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist (Orthopedic)
101 BODIN CIR
TRAVIS AFB, CA 94535
General Acute Care Hospital
101 BODIN CIR, TRAVIS AFB
FAIRFIELD, CA 94535
Optometrist
101 BODIN CIR, 60AMDS/SGPE
TRAVIS AFB, CA 94535
Emergency Medicine
101 BODIN CIR
TRAVIS AFB, CA 94535

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659613057, enumerated as an "individual" on March 23, 2013.

The provider is located at 101 BODIN CIR DAVID GRANT USAF MEDICAL CENTER FAIRFIELD, CA 94535 and the phone number is (707) 423-7342.

Internal Medicine with taxonomy code 207R00000X.