Jani Widjaja, MD
NPI 1902881287 · Diagnostic Radiology Physician · Lawrenceville, GA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jani Widjaja, MD is a Diagnostic Radiology Physician provider in Lawrenceville, GA (NPI 1902881287).
Provider details
- NPI number
- 1902881287
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 49221 (GA)
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
20 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
2,342 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) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 395 | $9 |
| Screening Mammography77067 | 245 | $36 |
| Screening 3d Breast Mammography77063 | 242 | $29 |
| Ct Scan Head Or Brain Without Contrast70450 | 167 | $40 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 126 | $88 |
| X-Ray of Chest, 2 Views71046 | 122 | $11 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-09
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Frequently asked questions
- What is Jani Widjaja's NPI number?
- Jani Widjaja's National Provider Identifier (NPI) is 1902881287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jani Widjaja's specialty?
- Jani Widjaja is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jani Widjaja located?
- Jani Widjaja's practice location on file with NPPES is 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694.
- What is Jani Widjaja's phone number?
- The practice phone number listed in the NPPES registry for Jani Widjaja is (770) 995-4321.
- Does Jani Widjaja accept Medicare?
- Jani Widjaja is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jani Widjaja's NPI active?
- Yes — Jani Widjaja's NPI (1902881287) is active in the NPPES registry as of the last update on 2022-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.