Lie Adi Darmawan, DNP
NPI 1417845819 · Certified Registered Nurse Anesthetist · Scottsdale, AZ
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lie Adi Darmawan, DNP is a Certified Registered Nurse Anesthetist provider in Scottsdale, AZ (NPI 1417845819).
Provider details
- NPI number
- 1417845819
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP
- Sex
- Male
- Sole proprietor
- No
- License
- 327086 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-25
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Lie Adi Darmawan's NPI number?
- Lie Adi Darmawan's National Provider Identifier (NPI) is 1417845819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lie Adi Darmawan's specialty?
- Lie Adi Darmawan is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lie Adi Darmawan located?
- Lie Adi Darmawan's practice location on file with NPPES is 13400 E Shea Blvd, Scottsdale, AZ 85259-5499.
- What is Lie Adi Darmawan's phone number?
- The practice phone number listed in the NPPES registry for Lie Adi Darmawan is (480) 301-8000.
- Does Lie Adi Darmawan accept Medicare?
- Lie Adi Darmawan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lie Adi Darmawan's NPI active?
- Yes — Lie Adi Darmawan's NPI (1417845819) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.