Edward Tanudjaja, DO
NPI 1003499229ActiveIndividual· Internal Medicine· Muskegon, MI
Internal Medicine (DO) in Muskegon, Michigan, trained at Arizona College of Osteopathic Medicine Mid Western University (class of 2021). Their prescriptions cost Medicare Part D more than their services did: $51,676 for 710 claims, against $1,962 paid for services in 2024. Novo Nordisk Inc reported $15.02 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1003499229 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | May 5, 2021 |
| Last updated in NPPES | May 5, 2021 |
| Certified by provider | May 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 5151015204 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 25 across 5 procedure codes |
| Paid by Medicare | $1,962 |
Part D prescriptions in 2024
| Prescriptions (claims) | 710 · 1,182 30-day fills |
|---|---|
| Patients | 121 |
| Total drug cost | $51,676 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Arizona College of Osteopathic Medicine Mid Western University |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Internal Medicine |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
Hospital affiliation
- Kaiser Foundation Hospital - SacramentoSacramento, CA
Industry payments (Open Payments)
- 2024$15.02 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $15.02 | 1 |
What the 2024 payments were for
- Food and Beverage$15.02 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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