YULIANTY D. KUSUMA (MD) – Internal Medicine Physician, NPI 1265627145
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
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Provider Addresses for YULIANTY D. KUSUMA (MD)
6413, Waters Avenue, Fairway Oaks, Highland Park, Savannah, Chatham County, Georgia, 31406, United States
SUITE 102
SAVANNAH, GA 314062711
Phone: (912) 349-6624
Fax: (912) 354-4694
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $178.
Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Mannkind Corporation ($45).
Total Amount
$178
General + Research + Ownership
Payments
9
Total payment records
General Amount
$178
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mannkind Corporation | $45 |
| Exact Sciences Corporation | $28 |
| Shield Therapeutics Inc | $23 |
| PFIZER INC. | $21 |
| Amgen Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080723000682 | I | Internal Medicine | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 344 | 169 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 119 | 119 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 109 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 40 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 38 | 37 | $0 |
Insurance plans in this area (ZIP 31406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | SC | |
| Physical Medicine And Rehabilitation | NY | |
| Physical Therapist In Private Practice | NY | |
| Nurse Practitioner | GA | |
| Family Practice, Sports Medicine | FL | |
| Internal Medicine | GA | |
| Internal Medicine | TN | |
| Family Practice | UT | |
| Orthopedic Surgery | FL | |
| Physical Medicine And Rehabilitation | GA |
Reviews
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