Doctor profile · Federal record
Dr. Elysa Widjaja, MD
Pediatric Radiology Physician (CMS: Pediatric Medicine) · Pediatric Radiology Physician · Diagnostic Radiology Physician · Cincinnati, OH
- NPI 1184331522
- 31 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
3333 Burnet Ave, Ml 5031
Cincinnati, OH 452293026
(513) 636-4251
fax (513) 636-8145 - Additional location
-
676 N Saint Clair St Ste 800
Chicago, IL 606112978
(312) 695-5753
fax (312) 695-5645 - Additional location
-
Lurie Children's Hospital, 225 E. Chicago Avenue
Chicago, IL 60611
(312) 227-3475
fax (312) 227-9783
Credentials & registration
- NPI registered
- November 2022 — 4 yrs on file
- Profile last updated
- February 12, 2026
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 2085P0229X — NUCC code
- State licenses (3)
- Ohio #35.155182 · Illinois #036.161747 · Illinois #036161747
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184331522. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$243
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| InSightec,INC | 1 | $127.06 | |
| Medtronic, INC. | 1 | $115.71 |
By nature of payment
Frequently asked questions
What is Dr. Elysa Widjaja's medical specialty?
Dr. Elysa Widjaja practices Pediatric Radiology Physician in Cincinnati, OH.
Where does Dr. Elysa Widjaja practice?
Dr. Elysa Widjaja practices at 3333 Burnet Ave, Cincinnati, OH 452293026. Office phone: 5136364251.
What is Dr. Elysa Widjaja's NPI?
Dr. Elysa Widjaja's National Provider Identifier (NPI) is 1184331522, issued by NPPES.
Does Dr. Elysa Widjaja accept Medicare assignment?
Dr. Elysa Widjaja does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.