1. Home
  2. Directory
  3. Florida
  4. Lake Worth
  5. Physician Assistant
  6. NPI Profile

MISS MONICA TIRTARAHARDJA PA-C
NPI 1770117830
Physician Assistant - Surgical in Lake Worth, FL

Active since February 27, 2020PECOS EnrolledAccepts Medicare Assignment
5503 S CONGRESS AVE STE 204, LAKE WORTH, FL 33462(561) 410-5110 Get Directions Write a Review

NPPES record last updated: July 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2020, Feb 27, 2020 (2 updates tracked since 2020).

About Miss Monica Tirtarahardja Pa-c NPPES

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

MISS MONICA TIRTARAHARDJA PA-C (NPI 1770117830) is an individual surgical provider in Lake Worth, Florida, licensed in Florida (PA9112886) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770117830
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS MONICA TIRTARAHARDJACredential: PA-C
Location Address5503 S CONGRESS AVE STE 204Lake Worth, FL 33462-6626
Mailing Address5503 S Congress Ave Ste 204Atlantis, FL 33462-6626 · (561) 410-5110 · Fax (561) 328-3911
Phone(561) 410-5110
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 27, 2020
Last NPPES UpdateJuly 12, 20202 updates tracked since enumeration
NPPES CertifiedJuly 12, 2020
✔ NPI 1770117830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9112886
5503 S CONGRESS AVE STE 204, Lake Worth, FL 33462
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Miss Monica Tirtarahardja Pa-c 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 ID6103249503
PECOS Enrollment IDI20200701002662
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.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
39 services15 patients
Fusion to repair spine deformity through back, up to 6 bones 22800
This procedure corrects spine deformities by fusing up to 6 vertebrae in your back. Surgeons make an incision in the back, then use bone grafts to connect the vertebrae. This creates a solid piece of bone to support your spine and correct the deformity.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100275
Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH FLORIDA NEUROSURGERY
Neurological Surgery
5503 S CONGRESS AVE STE 204
ATLANTIS, FL 33462
Palm Beach County (561) 410-5110
DR. JOSHUA G KOURI MD
Neurological Surgery
5503 S CONGRESS AVE STE 204
ATLANTIS, FL 33462
Palm Beach County (561) 410-5110
YEHUDA HERSCHMAN MD
Neurological Surgery
5503 S CONGRESS AVE STE 204
ATLANTIS, FL 33462
Palm Beach County (561) 410-5110

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 Monica Tirtarahardja's NPI number?

The NPI number for Monica Tirtarahardja is 1770117830. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Monica Tirtarahardja located?

Monica Tirtarahardja practices at 5503 S Congress Ave Ste 204, Lake Worth, FL 33462. The listed phone number is (561) 410-5110.

What is Monica Tirtarahardja's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Monica Tirtarahardja enrolled in Medicare?

Yes. Monica Tirtarahardja 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 Monica Tirtarahardja accept?

Health plans from Oscar Health Maintenance Organization of Florida list Monica Tirtarahardja 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 Monica Tirtarahardja affiliated with any hospitals?

According to CMS data, Monica Tirtarahardja is affiliated with Hca Florida Jfk Hospital and Wellington Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Monica Tirtarahardja was last updated on July 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.