DR. DANIEL SUSANTO (MD) – Neuroradiology Physician, NPI 1144364605
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
Provider Addresses for DR. DANIEL SUSANTO (MD)
203 S Western Ave
Tonasket, WA 988558803
Phone: (509) 486-2151
Fax: (509) 223-1640
Type: Location
19020 33RD AVE W STE 210
LYNNWOOD, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1374
Type: Mailing
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: 2025-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20100802000582 | I | Diagnostic Radiology | WA | TBD |
| I20141103001110 | I | Diagnostic Radiology | ID | TBD |
| I20241017003339 | I | Diagnostic Radiology | CA | TBD |
| I20250618000174 | I | Diagnostic Radiology | MI | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 5,510 | 36 | $0 |
| 70450 | Ct scan head or brain without contrast | 824 | 803 | $0 |
| 70496 | Ct scan of blood vessels of head with contrast | 500 | 497 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 496 | 493 | $0 |
| 70551 | Mri scan of brain without contrast | 451 | 448 | $0 |
Insurance plans in this area (ZIP 98855)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WA | |
| - | WA | |
| Diagnostic Radiology | WA | |
| - | WA | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | TN |
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