NURUL ITQIYAH HARIADI MD - NPI 1881875037 - Pediatrics in Maricopa, AZ

Q: What is Nurul Hariadi's NPI number?

The NPI number for Nurul Hariadi is 1881875037. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Q: What is Nurul Hariadi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nurul Hariadi was last updated on July 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Nurul Itqiyah Hariadi Md NPPES

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

NURUL ITQIYAH HARIADI MD (NPI 1881875037) is an individual pediatrics provider in Maricopa, Arizona, licensed in Michigan (4301090456) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881875037

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameNURUL ITQIYAH HARIADICredential: MD

Location Address17900 N PORTER RDMaricopa, AZ 85138-4228

Mailing Address17900 N Porter RdMaricopa, AZ 85138-4228 · (520) 233-2500 · Fax (520) 233-2574

Phone(520) 233-2500

Fax(520) 233-2574

Sole ProprietorNo

Enumeration DateNovember 15, 2007

Last NPPES UpdateJuly 22, 2016

✔ NPI 1881875037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301090456

Definition

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.

17900 N PORTER RD, Maricopa, AZ 85138

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Oscar Health Plan, Inc., UnitedHealthcare.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)

Nurul Itqiyah Hariadi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85138 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 13

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

HIRAM A. RIVERA PADILLA MD

Internal Medicine