Haggan Julijanto
NPI 1871460055 · Physician Assistant · Kokomo, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Haggan Julijanto is a Physician Assistant provider in Kokomo, IN (NPI 1871460055).
Provider details
- NPI number
- 1871460055
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sole proprietor
- No
- License
- 10005054A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
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
- 2025-10-21
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Frequently asked questions
- What is Haggan Julijanto's NPI number?
- Haggan Julijanto's National Provider Identifier (NPI) is 1871460055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Haggan Julijanto's specialty?
- Haggan Julijanto is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Haggan Julijanto located?
- Haggan Julijanto's practice location on file with NPPES is 2004 W Sycamore St, Kokomo, IN 46901-4112.
- What is Haggan Julijanto's phone number?
- The practice phone number listed in the NPPES registry for Haggan Julijanto is (574) 780-0102.
- Does Haggan Julijanto accept Medicare?
- Haggan Julijanto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Haggan Julijanto's NPI active?
- Yes — Haggan Julijanto's NPI (1871460055) is active in the NPPES registry as of the last update on 2025-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.