MICHAEL LEON TJAHJADI MD
NPI 1699188912
Pediatrics in Statesville, NC
About Michael Leon Tjahjadi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL LEON TJAHJADI MD (NPI 1699188912) is an individual pediatrics provider in Statesville, North Carolina, licensed in North Carolina (2023-02709) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 (PECOS)
Michael Leon Tjahjadi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28677 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATESVILLE, NC 28677
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 Michael Tjahjadi's NPI number?
The NPI number for Michael Tjahjadi is 1699188912. It was assigned to this individual provider in the NPPES registry on June 4, 2014.
Where is Michael Tjahjadi located?
Michael Tjahjadi practices at 728 Hartness Rd, Statesville, NC 28677. The listed phone number is (704) 360-6420.
What is Michael Tjahjadi's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Michael Tjahjadi enrolled in Medicare?
Yes. Michael Tjahjadi is registered in the Medicare PECOS enrollment system.
What insurance does Michael Tjahjadi accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and First Choice Next list Michael Tjahjadi 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.
When was this NPI record last updated?
The NPPES record for Michael Tjahjadi was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
