Elizabeth Kertowidjojo
NPI 1659767259 · Anatomic Pathology Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elizabeth Kertowidjojo is a Anatomic Pathology Physician provider in Chicago, IL (NPI 1659767259).
Provider details
- NPI number
- 1659767259
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 036155653 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
711 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 172 | $38 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 172 | $28 |
| Pathology Examination of Tissue Using a Microscope, Moderately High Complexity88307 | 76 | $85 |
| Surgical Pathology Consultation and Report on Referred Slides Prepared Elsewhere88321 | 65 | $88 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 60 | $35 |
| Surgical Pathology, Gross and Microscopic Examinations, for Prostate Needle Biopsy, Any MethodG0416 | 51 | $180 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2022-10-24
Frequently asked questions
- What is Elizabeth Kertowidjojo's NPI number?
- Elizabeth Kertowidjojo's National Provider Identifier (NPI) is 1659767259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Kertowidjojo's specialty?
- Elizabeth Kertowidjojo is listed in the NPPES registry with a primary specialty of Anatomic Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Elizabeth Kertowidjojo located?
- Elizabeth Kertowidjojo's practice location on file with NPPES is 5841 S Maryland Ave, Chicago, IL 60637-1443.
- What is Elizabeth Kertowidjojo's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Kertowidjojo is (888) 824-0200.
- Does Elizabeth Kertowidjojo accept Medicare?
- Elizabeth Kertowidjojo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elizabeth Kertowidjojo's NPI active?
- Yes — Elizabeth Kertowidjojo's NPI (1659767259) is active in the NPPES registry as of the last update on 2022-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.