Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Daniel Susanto, MD

Individual provider Diagnostic Radiology Physician · NPI 1144364605

Dr. Daniel Susanto, MD is a Diagnostic Radiology in Lynnwood, Washington. Graduated from Medical College of Wisconsin in 2004, 22 years ago. Practices with Radiology Associates PA, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska, Idaho, Minnesota and Washington.

Years since qualifying
22
Trained at
Medical College of Wisconsin
Licensed in
AK, ID, MN, WA
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 203 S Western Ave, Tonasket, WA 98855-8803 — (509) 486-2151

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence MD60083485 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60083485 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 17687 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M-12378 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence S-7900 (AK)

Record details

NPI number1144364605
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 17, 2007
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2004 (22 years in practice)
Group practice Radiology Associates Pa — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations28 on file with Medicare

Other providers in Lynnwood