Michael Tjahjadi, MD
NPI 1699188912 · Pediatrics Physician · Statesville, NC
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Tjahjadi, MD is a Pediatrics Physician provider in Statesville, NC (NPI 1699188912).
Provider details
- NPI number
- 1699188912
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2023-02709 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs 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
- 2014-06-04
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Frequently asked questions
- What is Michael Tjahjadi's NPI number?
- Michael Tjahjadi's National Provider Identifier (NPI) is 1699188912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Tjahjadi's specialty?
- Michael Tjahjadi is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Tjahjadi located?
- Michael Tjahjadi's practice location on file with NPPES is 728 Hartness Rd, Statesville, NC 28677-3425.
- What is Michael Tjahjadi's phone number?
- The practice phone number listed in the NPPES registry for Michael Tjahjadi is (704) 360-6420.
- Does Michael Tjahjadi accept Medicare?
- Michael Tjahjadi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Tjahjadi's NPI active?
- Yes — Michael Tjahjadi's NPI (1699188912) is active in the NPPES registry as of the last update on 2025-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.