DR. SUSANTI RAHAJU IE (MD) – Pulmonary Disease Physician, NPI 1215910781

DR. SUSANTI RAHAJU IE (MD) is a healthcare provider. based in Roanoke, Virginia. specializing in PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 050640 (GA). The NPI Number for DR. SUSANTI RAHAJU IE (MD) is 1215910781

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSANTI RAHAJU IE (MD)
NPI
1215910781
Phone
(540) 985-8505
Address
2001 CRYSTAL SPRING AVE SW
Enumeration Date
29 November 2005
Last Update Date
4 April 2017

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5407312992
Graduation Year
1993 (33 years ago)
PAC ID
4486718459
Group Practice PAC ID
9830096585
Professional Enrollment ID
I20090205000704
Address ID
VA240736344CH2900XCIRX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

478 PULMONARY DISEASE in VA

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Provider Addresses for DR. SUSANTI RAHAJU IE (MD)

  • 2001, Crystal Spring Avenue Southwest, Woodcliff, Roanoke, Roanoke (city), Virginia, 24014, United States

    SUITE 300

    ROANOKE, VA 240142462

    Phone: (540) 985-8505

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-02-05

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
I20090205000704IPulmonary DiseaseVATBD

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
99291Critical care, first 30-74 minutes21391$0
G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation154153$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9454$0
94729Test to examine how well the lungs exchange gases6666$0
94060Test to measure expiratory airflow and volume changes before and after medication administration5858$0
View full utilization report →

Insurance plans in this area (ZIP 24014)

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Provider's Procedures

DR. SUSANTI RAHAJU IE (MD) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEVA36556Insertion of central venous catheter for infusion, patient 5 years or older2321
PULMONARY DISEASEVA95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube6762

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: 9830096585View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. SUSANTI RAHAJU IE (MD)?
Save NPI 1215910781 if you need a stable reference for DR. SUSANTI RAHAJU IE (MD).
Is DR. SUSANTI RAHAJU IE (MD)'s NPI currently valid?
The extract we use shows DR. SUSANTI RAHAJU IE (MD) as active.
What field does DR. SUSANTI RAHAJU IE (MD) work in?
You can think of DR. SUSANTI RAHAJU IE (MD) as practicing within Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SUSANTI RAHAJU IE (MD)?
The snapshot lists Roanoke, Virginia for DR. SUSANTI RAHAJU IE (MD); download NPPES for the complete set.
Is DR. SUSANTI RAHAJU IE (MD) a real provider?
This page reflects official NPPES data for NPI 1215910781. Always confirm identity and privileges with the practice and licensing boards.

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