Faiz Kusumo, MD
NPI 1619461696 · Student in an Organized Health Care Education/Training Program · Fresno, CA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Faiz Kusumo, MD is a Student in an Organized Health Care Education/Training Program provider in Fresno, CA (NPI 1619461696).
Provider details
- NPI number
- 1619461696
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
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
8 yrs in NPPES 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
- 2018-06-21
- Last updated
- 2018-06-21
Frequently asked questions
- What is Faiz Kusumo's NPI number?
- Faiz Kusumo's National Provider Identifier (NPI) is 1619461696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Faiz Kusumo's specialty?
- Faiz Kusumo 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 Faiz Kusumo located?
- Faiz Kusumo's practice location on file with NPPES is 1313 E Herndon Ave, Fresno, CA 93720-3306.
- What is Faiz Kusumo's phone number?
- The practice phone number listed in the NPPES registry for Faiz Kusumo is (559) 450-5375.
- Does Faiz Kusumo accept Medicare?
- Faiz Kusumo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Faiz Kusumo's NPI active?
- Yes — Faiz Kusumo's NPI (1619461696) is active in the NPPES registry as of the last update on 2018-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.