SUDARMO WINARKO MD
NPI 1982775946
Internal Medicine in Los Angeles, CA

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
4733 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 783-4011 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sudarmo Winarko Md NPPES

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

SUDARMO WINARKO MD (NPI 1982775946) is an individual internal medicine provider in Los Angeles, California, licensed in California (G40220) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1978).

NPPES Registry Identity

NPI1982775946
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUDARMO WINARKOCredential: MD
Location Address4733 W SUNSET BLVDLos Angeles, CA 90027-6021
Mailing Address4733 W Sunset BlvdLos Angeles, CA 90027-6021 · (323) 783-4011
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1978
Enumeration DateNovember 13, 2006
Last NPPES UpdateNovember 30, 2021
NPI 1982775946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G40220
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4733 W SUNSET BLVD, Los Angeles, CA 90027

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

Sudarmo Winarko Md 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 ID9830229848
PECOS Enrollment IDI20100617000123
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 90027 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

Internal Medicine (Cardiovascular Disease)
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychiatry & Neurology (Psychiatry)
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Optometrist
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Family Medicine
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Internal Medicine
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Ophthalmology
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Physician Assistant
4733 W SUNSET BLVD
LOS ANGELES, CA 90027
Nurse Anesthetist, Certified Registered
4733 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Sudarmo Winarko's NPI number?

The NPI number for Sudarmo Winarko is 1982775946. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Sudarmo Winarko located?

Sudarmo Winarko practices at 4733 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 783-4011.

What is Sudarmo Winarko's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sudarmo Winarko enrolled in Medicare?

Yes. Sudarmo Winarko 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.

When was this NPI record last updated?

The NPPES record for Sudarmo Winarko was last updated on November 30, 2021. 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.