Elizabeth Kertowidjojo
Anatomic Pathology Physician · Chicago, IL
Elizabeth Kertowidjojo is an anatomic pathology physician with a practice address in Chicago, Illinois, and NPI 1659767259, issued on Apr 9, 2015. Check the license (Illinois 036155653, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Elizabeth Kertowidjojo
- Primary taxonomy
- Anatomic Pathology Physician 207ZP0101X
- License number
- 036155653 IL
Self-reported in NPPES; status is on the state search - Practice location
- 5841 S Maryland Ave, Chicago, IL 60637
- Phone
- (888) 824-0200
- Enumerated
- Apr 9, 2015
- Record last updated
- Oct 24, 2022
- Medicare enrollment
- Enrolled (PECOS I20210903001308); accepts Medicare assignment
- Medical or professional school
- New York Medical College, 2015
- Entity
- Type 1 · individual
8 nearest anatomic pathology physician records → All 86 in Illinois → Look up another NPI →
Also registered at 5841 S Maryland Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Elizabeth Kertowidjojo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036155653Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 97.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- University OF ChicagoChicago, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Elizabeth Kertowidjojo among 86 anatomic pathology physician records in Illinois
Elizabeth Kertowidjojo is one of 86 anatomic pathology physician records with a practice address in Illinois. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 79% of them.
- NPI issued2015 · 79% of these records are older, 17% newer
- In a Medicare fileYes · 62% of these records are
- In the CMS Doctors and Clinicians fileYes · 53% of these records are
- Graduated2015 · median 2000 among the 46 with a school on file
- Record last updated2022 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0101X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Anatomic Pathology Physician providers in Illinois
There are 86 anatomic pathology physician records in Illinois.
All 86 in Illinois → Every provider in Chicago → Anatomic Pathology Physician nationwide →
The 8 anatomic pathology physician records with the nearest ZIP codes
- Cyril Abrahams, M.D.Chicago, IL 606371386831089
- Mei Lin Bissonnette, MDChicago, IL 606371043521115
- Kimberly Cole, M.D.Chicago, IL 606371952540460
- Martin Gross, MD PHDChicago, IL 606371588853733
- John HartChicago, IL 606371750433439
- Kammi HenriksenChicago, IL 606371710242110
- Aliya HusainChicago, IL 606371669524344
- Ivan Moskowitz, MD, PHDChicago, IL 606371215946488
Common questions
What is Elizabeth Kertowidjojo's NPI number?
Elizabeth Kertowidjojo's National Provider Identifier (NPI) is 1659767259, issued on Apr 9, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Elizabeth Kertowidjojo located?
The NPPES record lists a practice address at 5841 S Maryland Ave, Chicago, IL, 60637. Phone: (888) 824-0200. Providers update this record themselves, so call before visiting.
How can I verify Elizabeth Kertowidjojo's license?
NPPES lists Illinois license number 036155653, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Elizabeth Kertowidjojo's MIPS final score?
The 2023 MIPS final score is 97.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.