Daniel Susanto, MD
NPI 1144364605ActiveIndividual· Radiology, Neuroradiology· Lynnwood, WA
Radiology, Neuroradiology (MD) in Lynnwood, Washington, trained at Medical College of Wisconsin (class of 2004). Medicare paid $209,899 for services to 2,345 patients in 2024.
Overview
| NPI | 1144364605 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 17, 2007 |
| Last updated in NPPES | Feb 11, 2026 |
| Certified by provider | Feb 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Neuroradiology Primary | 2085N0700X | MD60083485 | WA |
| Radiology, Diagnostic Radiology | 2085R0202X | MD60083485 | WA |
| Radiology, Diagnostic Radiology | 2085R0202X | 17687 | MN |
| Radiology, Diagnostic Radiology | 2085R0202X | M-12378 | ID |
| Radiology, Diagnostic Radiology | 2085R0202X | S-7900 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CA); Practitioner - Diagnostic Radiology (ID); Practitioner - Diagnostic Radiology (MI); Practitioner - Diagnostic Radiology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,345 |
|---|---|
| Services billed | 12,726 across 51 procedure codes |
| Paid by Medicare | $209,899 |
Education and affiliations
| Medical school | Medical College of Wisconsin |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Swedish Health ServicesSeattle, WA · 1,037 clinicians
- County of Santa ClaraSan Jose, CA · 1,022 clinicians
- Central Washington Health Services AssociationWenatchee, WA · 721 clinicians
- Optum Care Washington PLLCEverett, WA · 683 clinicians
- Yakima Valley Memorial PhysiciansYakima, WA · 391 clinicians
- Radia Inc P SSeattle, WA · 277 clinicians
- Swedish Health ServicesEverett, WA · 154 clinicians
- Radia California Radiology Medical Group IncMarietta, OH · 136 clinicians
- Radia Oregon Radiology Medical Group LLCMarietta, OH · 121 clinicians
- Evergreen Radia LLCMarietta, OH · 120 clinicians
- Swedish Radia Imaging Center at Edmonds LLCMarietta, OH · 112 clinicians
- Tower Imaging Medical Associates IncSeattle, WA · 95 clinicians
- Medford Radiological Group PCSeattle, WA · 89 clinicians
- Okanogan County Public Hospital District No. 3Omak, WA · 89 clinicians
- South Sound Radiologists Inc P SPortland, OR · 78 clinicians
- Radia Imaging Center Holdings LLCSeattle, WA · 45 clinicians
Hospital affiliations
- Asante Rogue Regional Medical CenterMedford, OR
- Overlake Hospital Medical Center & ClinicsBellevue, WA
- Providence Regional Medical Center EverettEverett, WA
- Providence St Peter HospitalOlympia, WA
- Swedish Medical Center / Cherry HillSeattle, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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