Elysa Widjaja, MD
NPI 1184331522 · Pediatric Radiology Physician · Cincinnati, OH
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elysa Widjaja, MD is a Pediatric Radiology Physician provider in Cincinnati, OH (NPI 1184331522).
Provider details
- NPI number
- 1184331522
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036.161747 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
3 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$243 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- Lurie Children'S Hospital225 E. Chicago AvenueChicago, IL 60611Phone: (312) 227-3475Fax: (312) 227-9783
- 676 N Saint Clair St Ste 800Chicago, IL 60611-2978Phone: (312) 695-5753Fax: (312) 695-5645
Registry dates
- Enumerated
- 2022-11-04
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Frequently asked questions
- What is Elysa Widjaja's NPI number?
- Elysa Widjaja's National Provider Identifier (NPI) is 1184331522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elysa Widjaja's specialty?
- Elysa Widjaja is listed in the NPPES registry with a primary specialty of Pediatric Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Elysa Widjaja located?
- Elysa Widjaja's practice location on file with NPPES is 3333 Burnet Ave, Cincinnati, OH 45229-3026.
- What is Elysa Widjaja's phone number?
- The practice phone number listed in the NPPES registry for Elysa Widjaja is (513) 636-4251.
- Does Elysa Widjaja accept Medicare?
- Elysa Widjaja is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elysa Widjaja's NPI active?
- Yes — Elysa Widjaja's NPI (1184331522) is active in the NPPES registry as of the last update on 2026-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.