Doctor profile · Federal record
Dr. Roy Soetikno, MD
Gastroenterology Physician (CMS: Gastroenterology) · Mountain View, CA
- NPI 1922119916
- 36 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2490 Hospital Dr Ste 211
Mountain View, CA 940404125
(650) 492-3384
fax (650) 963-3535 - Additional location
-
3801 Miranda Ave # Gi111
Palo Alto, CA 943041207
(650) 849-0542
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- April 14, 2020
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- California #G76556
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922119916. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$138
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Cook Medical LLC | 1 | $138.17 |
By nature of payment
Frequently asked questions
What is Dr. Roy Soetikno's medical specialty?
Dr. Roy Soetikno practices Gastroenterology Physician in Mountain View, CA.
Where does Dr. Roy Soetikno practice?
Dr. Roy Soetikno practices at 2490 Hospital Dr Ste 211, Mountain View, CA 940404125. Office phone: 6504923384.
What is Dr. Roy Soetikno's NPI?
Dr. Roy Soetikno's National Provider Identifier (NPI) is 1922119916, issued by NPPES.
Does Dr. Roy Soetikno accept Medicare assignment?
Dr. Roy Soetikno does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.