Doctor profile · Federal record
Dr. Edward Tanudjaja, DO
Internal Medicine Physician (CMS: Internal Medicine) · Muskegon, MI
- NPI 1003499229
- Accepts Medicare
- 5 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1500 E Sherman Blvd
Muskegon, MI 494441849
(231) 672-2000 - Mailing address
-
18379 Woodland Ridge Dr Apt 6
Spring Lake, MI 494568924
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Michigan #5151015204
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003499229. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 1 | $15.02 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
451
Patients
82
Total drug cost
$6,762
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 42 | 14 | $567 |
| Duloxetine Hcl | Generic | 42 | 0 | $697 |
| Lisinopril | Generic | 41 | 0 | $436 |
| Amlodipine Besylate | Generic | 35 | 0 | $181 |
| Losartan Potassium | Generic | 34 | 0 | $439 |
| Furosemide | Generic | 33 | 12 | $216 |
| Metoprolol Succinate | Generic | 32 | 12 | $743 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 29 | 0 | $448 |
| Metformin Hcl | Generic | 26 | 0 | $292 |
| Pantoprazole Sodium | Generic | 26 | 11 | $935 |
Frequently asked questions
What is Dr. Edward Tanudjaja's medical specialty?
Dr. Edward Tanudjaja practices Internal Medicine Physician in Muskegon, MI.
Where does Dr. Edward Tanudjaja practice?
Dr. Edward Tanudjaja practices at 1500 E Sherman Blvd, Muskegon, MI 494441849. Office phone: 2316722000.
What is Dr. Edward Tanudjaja's NPI?
Dr. Edward Tanudjaja's National Provider Identifier (NPI) is 1003499229, issued by NPPES.
Does Dr. Edward Tanudjaja accept Medicare assignment?
Yes. Dr. Edward Tanudjaja accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.