DR. SUDJONO KOSIM MD
NPI 1780779330
Radiology - Diagnostic Radiology in Monroe, MI
NPI Status: Active since October 03, 2006
Contact Information
718 N. MACOMB
MONROE, MI
ZIP 48161
Phone: (734) 240-8400
- Individual
- Male
- Radiology
- Diagnostic Radiology
About SUDJONO KOSIM
This page provides the complete NPI Profile along with additional information for Sudjono Kosim, a provider established in Monroe, Michigan with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1780779330 assigned on October 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 4301040246 (MI). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1780779330
- Provider Name
- DR. SUDJONO KOSIM MD
- Other Name
- HONG T JAY SIM
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 718 N. MACOMB MONROE, MI 48161
- Location Phone
- (734) 240-8400
- Mailing Address
- 718 N. MACOMB MONROE, MI 48161
- Mailing Phone
- (734) 240-8400
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-03-2006
- Last Update Date
- 07-08-2007
- Code Navigator
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301040246
- License State
- MI
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12915 | OTHER (01) | MI | COMMUNITY CHOICE OF MI |
| 802982 | OTHER (01) | MI | COMMUNITY CARE PLAN |
| 38338429803 | OTHER (01) | MI | CNA HEALTH SERVICES |
| 3442516 | OTHER (01) | MI | HEALTH PLAN OF MI |
| 0M5590004 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | |
| 3442490 | MEDICAID (05) | MI | |
| 3442516 | OTHER (01) | MI | MOLINA HEALTHCARE |
| A76427 | MEDICARE UPIN (02) | MI |
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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 1780779330, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780779330, enumerated as an "individual" on October 03, 2006.
The provider is located at 718 N. MACOMB MONROE, MI 48161 and the phone number is (734) 240-8400.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
