Yulianty D Kusuma (NPI# 1265627145, PAC ID# 8426121450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1265627145 |
| PAC ID by PECOS | 8426121450 |
| Professional Enrollment ID | I20080723000682 |
| Full Name | Yulianty D Kusuma |
| Organization Legal Name | INTERNAL MEDICINE OF SAVANNAH, LLC |
| Address |
6413 Waters Ave Suite 102 Savannah GA 31406-2711 |
| Phone Number | 9123496624 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2466614425 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110036 | MEMORIAL UNIVERSITY MEDICAL CENTER |
| 110024 | CANDLER HOSPITAL |
| 110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
| Address | Phone | Organization |
|---|---|---|
| 6413 Waters Ave, Suite 102, Savannah, GA 31406-2711 | 9123496624 | INTERNAL MEDICINE OF SAVANNAH, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 63% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 0% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 91% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 30% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 1% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 52% | |
| MIPS_EC_047_overall | Care Plan | 95% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 91% |
| Organization Legal Name | INTERNAL MEDICINE OF SAVANNAH, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darcy Anne Racoff Glascock | Nurse Practitioner | Internal Medicine of Savannah, LLC | 6413 Waters Ave, Suite 102, Savannah, GA 31406-2711 |
| Street Address |
6413 WATERS AVE SUITE 102 |
| City | SAVANNAH |
| State | GA |
| Zip | 31406-2711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Than Win | Rheumatology | 6413 Waters Ave, Suite 101, Savannah, GA 31406-2711 | |
| Darcy Anne Racoff Glascock | Nurse Practitioner | Internal Medicine of Savannah, LLC | 6413 Waters Ave, Suite 102, Savannah, GA 31406-2711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Holick | Chiropractic | Holick Holistic Chiropratic Center | 102 Oglethorpe Professional Court, Suite 6, Savannah, GA 31406 |
| Mark E Domanski | Chiropractic | 320 E Montgomery Crossroads, Suite 30, Savannah, GA 31406 | |
| Monica R Kenney | Allergy/immunology | Coastal Allergy and Asthma PC | 1601 Fair Rd, Suite 600, Stateboro, GA 31406 |
| Colleen Holick | Chiropractic | Holick Holistic Chiropratic Center | 102 Oglethorpe Professional Court, Suite 6, Savannah, GA 31406 |
| Bruce Daniel Finkel | Allergy/immunology | Coastal Allergy and Asthma PC | 1601 Fair Rd, Suite 600, Stateboro, GA 31406 |
| Todd M Titus | Chiropractic | 7373 Hodgson Memorial Dr, Suite 6, Savannah, GA 31406-1503 | |
| Obaid Rehman | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| Athena J Fountain | Nurse Practitioner | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Savannah, GA 31406-1523 |
| Craig Anthony Schuring | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Suite 2, Savannah, GA 31406-1523 |
| Joshua T Bonin | Physician Assistant | Southeast Lung and Critical Care Specialists, PC | 340 Hodgson Ct, Savannah, GA 31406-1523 |
| Find all physicians in zip 31406 | |||
| City | SAVANNAH |
| Zip Code | 31406 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAVANNAH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Yulianty D Kusuma.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.