Samuel Moedjianto, MD
NPI 1457294837 · Student in an Organized Health Care Education/Training Program · Winston Salem, NC
Samuel Moedjianto, MD is a Student in an Organized Health Care Education/Training Program provider in Winston Salem, NC (NPI 1457294837).
Provider details
- NPI number
- 1457294837
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
- 2026-04-10
- Last updated
- 2026-04-10
- Certified
- 2026-04-10
Frequently asked questions
- What is Samuel Moedjianto's NPI number?
- Samuel Moedjianto's National Provider Identifier (NPI) is 1457294837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Moedjianto's specialty?
- Samuel Moedjianto is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Samuel Moedjianto located?
- Samuel Moedjianto's practice location on file with NPPES is 1 Medical Center Blvd, Winston Salem, NC 27157-0001.
- What is Samuel Moedjianto's phone number?
- The practice phone number listed in the NPPES registry for Samuel Moedjianto is (336) 716-6410.
- Is Samuel Moedjianto's NPI active?
- Yes — Samuel Moedjianto's NPI (1457294837) is active in the NPPES registry as of the last update on 2026-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.