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DR. INDRAWAN HUSODO M.D. NPI 1376541847


NPI Information

NPI: 1376541847
Provider Name: DR. INDRAWAN HUSODO, M.D.
Classification: Anesthesiology - 207L00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
990 SYLVAN WAY
BREMERTON, WA
ZIP 98310
Phone: (360) 479-3657
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DR. Indrawan Husodo, M.D. is an anesthesiology in Bremerton, WA with 45 years of experience. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. DR. Indrawan Husodo, M.D. NPI is 1376541847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

990 SYLVAN WAY
BREMERTON, WA
ZIP 98310-851
Phone: (360) 479-3657
Fax: (360) 373-7616

The NPI 1376541847 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
  • Anesthesia for procedure in upper abdomen including use of an endoscope (HCPCS:00790)
  • Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)

The enumeration date for this NPI number is 7/8/2005 and was last updated on 1/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyMD00028376WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
172669OTHERWASHINGTONLABOR AND INDUSTRIES
2E90896MEDICARE UPINWASHINGTON
3000200962MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMEDICARE
4050042796OTHERWASHINGTONRAILROAD MEDCIARE
58132292MEDICAIDWASHINGTON
691084721521OTHERWASHINGTONKPS
706487001OTHERWASHINGTONGROUP HEALTH CORP
8HU0090OTHERWASHINGTONREGENCE BLUE SHIELD
98933482OTHERWASHINGTONVICTIMS OF CRIME
10910847215OTHERWASHINGTONPREMERA BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.