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SUGIARTO TJEN PA
NPI 1720072010
Anesthesiologist Assistant in Columbus, GA

Active since September 01, 2005Accepts Medicare Assignment
77.32/100
CMS Quality Rating
710 CENTER ST, COLUMBUS, GA 31901(706) 571-1374(706) 660-2686 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sugiarto Tjen Pa NPPES

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

SUGIARTO TJEN PA (NPI 1720072010) is an individual anesthesiologist assistant in Columbus, Georgia, licensed in Georgia (2104) and active in the NPI registry since September 2005. He is affiliated with Piedmont Columbus Regional Midtown and is a graduate of Emory University School Of Medicine (1989).

NPPES Registry Identity

NPI1720072010
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameSUGIARTO TJENCredential: PA
Location Address710 CENTER STColumbus, GA 31901-1527
Mailing AddressPo Box 1380Columbus, GA 31902-1307 · (706) 571-1374 · Fax (706) 660-2686
Phone(706) 571-1374
Fax(706) 660-2686
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1989
Enumeration DateSeptember 1, 2005
Last NPPES UpdateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
✔ NPI 1720072010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 2104
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0002104 (GA)
710 CENTER ST, Columbus, GA 31901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sugiarto Tjen Pa 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 ID9537203948
PECOS Enrollment IDI20101112000715

Medicare Billing Reassignments

3

Medicare enrollment records show Sugiarto Tjen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Medicine Physicians Of Georgia - Tcs, PC
Same address
Anesthesiology
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 165 clinicians in this Medicare group
NPI 1033926191 (706) 571-1000
Amsol Anesthetists Of Georgia LLC-Hughston Surgical Center
3.6 mi
Nurse Anesthetist, Certified Registered
6262B VETERANS PKWY
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Amsol Anesthetists Of Georgia, LLC
  • 110 clinicians in this Medicare group
NPI 1164708400 (706) 494-3434
Sentry Anesthesia Management, LLC
65 mi
Anesthesiology
80 NEWNAN STATION DR, SUITE A
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 729 clinicians in this Medicare group
NPI 1134544794 (770) 251-2060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.32
Improvement Activities40

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.

DR. NISHANT MICHAEL DE QUADROS M.D.
Radiology (Diagnostic Radiology)
710 CENTER ST, THE MEDICAL CENTER
COLUMBUS, GA 31901
Muscogee County (706) 501-1000
ARNOLD NONGMOH FORLEMU MD
Internal Medicine (Gastroenterology)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 324-6365
SAMUEL SOLOMON MARKS
Nurse Anesthetist, Certified Registered
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1000
BIBIDH SUBEDI
Pharmacist
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1495
SUBHENDU DE MD
Pediatrics (Pediatric Critical Care Medicine)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1311
THE MEDICAL CENTER, INC.
Ambulance (Land Transport)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 660-6101
DR. JAMES CUNNINGHAM MD
Surgery (Surgical Critical Care)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (706) 571-1454
MRS. SARAH KATHARINE WINTER THORNBURY N.P.
Nurse Practitioner (Pediatrics)
710 CENTER ST
COLUMBUS, GA 31901
Muscogee County (334) 444-3340

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 Sugiarto Tjen's NPI number?

The NPI number for Sugiarto Tjen is 1720072010. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Sugiarto Tjen located?

Sugiarto Tjen practices at 710 Center St, Columbus, GA 31901. The listed phone number is (706) 571-1374.

What is Sugiarto Tjen's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Sugiarto Tjen enrolled in Medicare?

Yes. Sugiarto Tjen 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.

Which organizations bill Medicare for Sugiarto Tjen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sugiarto Tjen reassigns Medicare benefits to 3 organizations: Hospitalist Medicine Physicians Of Georgia - Tcs, PC (Columbus, GA), Amsol Anesthetists Of Georgia LLC-Hughston Surgical Center (Columbus, GA) and Sentry Anesthesia Management, LLC (Newnan, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sugiarto Tjen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sugiarto Tjen affiliated with any hospitals?

According to CMS data, Sugiarto Tjen is affiliated with Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for Sugiarto Tjen was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.