Roy Muljadi Soetikno, MD
NPI 1922119916ActiveIndividual· Internal Medicine, Gastroenterology· Mountain View, CA
Internal Medicine, Gastroenterology (MD) in Mountain View, California, trained at University of Chicago, Pritzker School of Medicine (class of 1990). Enrolled in Medicare as practitioner - gastroenterology. Cook Medical LLC reported $138.17 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1922119916 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Apr 14, 2020 |
| Certified by provider | Apr 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | G76556 | CA |
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 - Gastroenterology (CA) |
|---|
Education and affiliations
| Medical school | University of Chicago, Pritzker School of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Gastroenterology |
Industry payments (Open Payments)
- 2024$138.17 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Cook Medical LLC | $138.17 | 1 |
What the 2024 payments were for
- Food and Beverage$138.17 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 gastroenterologists in Mountain View · All gastroenterologists in California