HENDRA YOSIA SITOMPUL CRNA
NPI 1780191031
Nurse Anesthetist, Certified Registered in Danville, KY

Q: What is Hendra Sitompul's NPI number?

The NPI number for Hendra Sitompul is 1780191031. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Q: What is Hendra Sitompul's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Hendra Sitompul was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 09, 2018Accepts Medicare Assignment

79.11/100

CMS Quality Rating

210 W MAIN ST FL 2, DANVILLE, KY 40422(859) 236-3726(859) 236-3019 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2022, Jan 18, 2018, Jan 9, 2018 (3 updates tracked since 2018).

On this page

About Hendra Yosia Sitompul Crna NPPES

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

HENDRA YOSIA SITOMPUL CRNA (NPI 1780191031) is an individual nurse anesthetist, certified registered in Danville, Kentucky, licensed in Kentucky (3011997) and active in the NPI registry since January 2018. He is affiliated with Ephraim Mcdowell Regional Medical Center, maintains a secondary practice location in Danville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780191031

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameHENDRA YOSIA SITOMPULCredential: CRNA

Location Address210 W MAIN ST FL 2Danville, KY 40422-1812

Mailing AddressPo Box 27766Belfast, ME 04915-2029 · (888) 488-8289 · Fax (502) 919-9780

Phone(859) 236-3726

Fax(859) 236-3019

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 9, 2018

Last NPPES UpdateMay 20, 20223 updates tracked since enumeration

NPPES CertifiedMay 20, 2022

✔ NPI 1780191031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in KY · 3011997

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

210 W MAIN ST FL 2, Danville, KY 40422

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Secondary Practice Location 1

Location 1217 S 3rd StDanville, KY 40422-1823 · Phone (909) 239-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Hendra Yosia Sitompul Crna 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 ID6800156340

PECOS Enrollment IDI20180201001925

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

20 services20 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

19 services19 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

19 services19 patients

Anesthesia for other procedure on upper abdomen 00790

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180048

Location217 South Third StreetDanville, KY 40422 · Boyle County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

79.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.52

Promoting Interoperability

100

Improvement Activities

Cost

44.23

Other Providers at the Same Location NPPES 7

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

GEORGEANNA GRANT APRN

Nurse Anesthetist, Certified Registered