Dr Mingliarti Tjahjana, MD - Internal Medicine in Reston, VA

Dr Mingliarti Tjahjana, MD is a Internal Medicine physician based in Reston, Virginia. Dr Mingliarti Tjahjana is licensed to practice in Virginia (license number 0101236144) and her current practice location is 1850 Town Center Pkwy, Suite 410, Reston, Virginia. She can be reached at her office (for appointments etc.) via phone at (571) 572-9198.

NPI number for Dr Mingliarti Tjahjana is 1649280215 and her current mailing address is 12504 Alexander Cornell Dr, Fairfax, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649280215.

Contact Information

Dr Mingliarti Tjahjana, MD
1850 Town Center Pkwy, Suite 410,
Reston, VA 20190-3219
(571) 572-9198
(571) 482-6080

Map and Direction




Physician's Profile

Full NameDr Mingliarti Tjahjana
GenderFemale
SpecialityInternal Medicine
Location1850 Town Center Pkwy, Reston, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649280215
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 12/09/2016

Medical Identifiers

Medical identifiers for Dr Mingliarti Tjahjana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649280215NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0101236144 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mingliarti Tjahjana is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mingliarti Tjahjana, MD
12504 Alexander Cornell Dr,
Fairfax, VA 22033-2437

Ph: (571) 338-9054
Dr Mingliarti Tjahjana, MD
1850 Town Center Pkwy, Suite 410,
Reston, VA 20190-3219

Ph: (571) 572-9198

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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