Indra Soerja Oetomo, PT, LAC
NPI 1326005745ActiveIndividual· Acupuncturist· Highlands Ranch, CO
Acupuncturist (PT, LAC) in Highlands Ranch, Colorado, licensed in CO, with an NPI issued in April 2006. Medicare paid $45,127 for services to 67 patients in 2024.
Overview
| NPI | 1326005745 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, LAC |
| Sole proprietor | No |
| NPI issued | Apr 28, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Acupuncturist Primary | 171100000X | 978 | CO |
| Physical Therapist, Orthopedic | 2251X0800X | 3579 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 2,180 across 8 procedure codes |
| Paid by Medicare | $45,127 |
Education and affiliations
| Graduation year | 1984 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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