DR. IMAM EKO TJAHJA (MD) – Cardiovascular Disease Physician, NPI 1760472948

DR. IMAM EKO TJAHJA (MD) is a healthcare provider. based in Pearsall, Texas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. J9393 (TX). The NPI Number for DR. IMAM EKO TJAHJA (MD) is 1760472948

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. IMAM EKO TJAHJA (MD)
NPI
1760472948
Phone
(210) 920-8000
Address
205 N Oak St
Enumeration Date
27 October 2005
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107055060
Graduation Year
1981 (45 years ago)
PAC ID
8527243906
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20110428000508
Address ID
TX782294850SA2833XRDXX328
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX

Provider Addresses for DR. IMAM EKO TJAHJA (MD)

  • 205 N Oak St

    Pearsall, TX 780613217

    Phone: (210) 920-8000

    Type: Location

  • 11212 STATE HIGHWAY 151 MEDICAL PLAZA 2 STE 316

    SAN ANTONIO, TX 78251

    Phone: (210) 703-8341

    Type: Location

  • Bandera Road, Helotes, Bexar County, Texas, 78254, United States

    HELOTES, TX 780234575

    Phone: (210) 920-8000

    Fax: (210) 920-6000

    Type: Mailing

  • PO BOX 846098

    DALLAS, TX 752846098

    Phone: (903) 606-6400

    Fax: (903) 606-1522

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2024-02-07 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($99).

Total Amount

$182

General + Research + Ownership

Payments

10

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-04-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110428000508ICardiovascular Disease (Cardiology)TXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes482177$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function206194$0
99215Established patient office or other outpatient visit, 40-54 minutes174123$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes163150$0
99214Established patient office or other outpatient visit, 30-39 minutes127106$0
View full utilization report →

Insurance plans in this area (ZIP 78061)

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Provider's Procedures

DR. IMAM EKO TJAHJA (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX85610Blood test, clotting time24036
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report1212
CARDIOVASCULAR DISEASE (CARDIOLOGY)TX93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart2826

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

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Frequently asked questions

Does DR. IMAM EKO TJAHJA (MD) have a public NPI I can cite?
Public records show DR. IMAM EKO TJAHJA (MD) under NPI 1760472948.
Quick check: is DR. IMAM EKO TJAHJA (MD) active?
Public NPPES data shows DR. IMAM EKO TJAHJA (MD) with an active NPI status right now.
What type of care does DR. IMAM EKO TJAHJA (MD) provide?
DR. IMAM EKO TJAHJA (MD)'s profile centers on Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. IMAM EKO TJAHJA (MD) in Pearsall, Texas?
For routing, start with Pearsall, Texas for DR. IMAM EKO TJAHJA (MD), then verify phone and hours locally.
Who maintains DR. IMAM EKO TJAHJA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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