IndividualActive
Michael Tjandrawidjaja, M.D.
NPI 1831403674 · Cardiovascular Disease Physician · Boston, MA
Provider details
- NPI number
- 1831403674
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 243066 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
75 Francis St
Dept of Medicine Cardiovascular Division
Boston, MA 02115-6110
Phone: (617) 732-6660
Street-level locationGet directions
Mailing address
50 Winchester St
Brookline, MA 02446-2751
Registry dates
- Enumerated
- 2010-08-04
- Last updated
- 2010-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.