Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Elysa Widjaja, MD

Individual provider Pediatric Radiology Physician · NPI 1184331522

Dr. Elysa Widjaja, MD practises Pediatric Medicine in Cincinnati, Ohio. Qualified in 1995, 31 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois and Ohio.

Years since qualifying
31
Licensed in
IL, OH
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3333 Burnet Ave Ml 5031
Cincinnati, OH 45229-3026
Phone: (513) 636-4251
Fax: (513) 636-8145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Lurie Children'S Hospital, Chicago, IL 60611 — (312) 227-3475
  • 676 N Saint Clair St Ste 800, Chicago, IL 60611-2978 — (312) 695-5753

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence 35.155182 (OH)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 036.161747 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036161747 (IL)

Record details

NPI number1184331522
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 4, 2022
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Not indicated

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $105 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

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