Doctor profile · Federal record
Dr. Ni Ketut Hariadi
Nurse Practitioner · Independence, OH
- NPI 1114404159
- Accepts Medicare
- 8 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5001 Rockside RD
Independence, OH 441312172
(216) 986-4000 - Mailing address
-
9000 Moss Pointe Cir
Olmsted Twp, OH 441388168
Credentials & registration
- NPI registered
- July 2018 — 8 yrs on file
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Ohio #AG07180050
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114404159. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
575
Distinct HCPCS
5
Medicare allowed
$31,048
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 400 | 266 | $63 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | 70 | $44 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 50 | 50 | $7 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 42 | 40 | $41 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 13 | 12 | $41 |
In context: peer comparison
Among 3 peers in Independence Nurse Practitioner, average services per provider: 163. This provider delivers 3.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,738
Patients
804
Total drug cost
$20,220
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Lisinopril | Generic | 229 | 88 | $1,562 |
| Losartan Potassium | Generic | 221 | 86 | $2,989 |
| Atorvastatin Calcium | Generic | 204 | 95 | $2,964 |
| Amlodipine Besylate | Generic | 187 | 77 | $1,123 |
| Levothyroxine Sodium | Generic | 136 | 59 | $2,121 |
| Omeprazole | Generic | 108 | 56 | $2,089 |
| Meloxicam | Generic | 99 | 61 | $311 |
| Metoprolol Succinate | Generic | 90 | 43 | $1,519 |
| Rosuvastatin Calcium | Generic | 87 | 37 | $1,744 |
| Hydrochlorothiazide | Generic | 84 | 38 | $416 |
Hospital affiliations
Frequently asked questions
What is Dr. Ni Ketut Hariadi's medical specialty?
Dr. Ni Ketut Hariadi practices Nurse Practitioner in Independence, OH.
Where does Dr. Ni Ketut Hariadi practice?
Dr. Ni Ketut Hariadi practices at 5001 Rockside RD, Independence, OH 441312172. Office phone: 2169864000.
What is Dr. Ni Ketut Hariadi's NPI?
Dr. Ni Ketut Hariadi's National Provider Identifier (NPI) is 1114404159, issued by NPPES.
Does Dr. Ni Ketut Hariadi accept Medicare assignment?
Yes. Dr. Ni Ketut Hariadi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ni Ketut Hariadi commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Annual depression screening, 5 to 15 minutes (HCPCS G0444). Source: CMS Medicare Physician & Other Practitioners file.