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

Michael Widjaja, MD

Individual provider Internal Medicine Physician · NPI 1184285249

Michael Widjaja, MD is an Emergency Medicine in Frankfort, Kentucky. Qualified in 2014, 12 years ago. Practices with Hospital Medicine Services of Ky, LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
12
Licensed in
KY
In the registry since
2019
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

299 Kings Daughters Dr
Frankfort, KY 40601-4186
Phone: (502) 875-5240
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 56540 (KY)

Record details

NPI number1184285249
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address2151 Meeting St Apt 12209, Lexington, KY 40509-4662

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hospital Medicine Services Of Ky, Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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