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

Mr. Wibisono Hartojo, MD

Individual provider Internal Medicine Physician · NPI 1487883740

Mr. Wibisono Hartojo, MD is a Hospitalist in Falls Church, Virginia. Qualified in 2001, 25 years ago. Practices with Inova Health Care Services, a 1,827-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
25
Licensed in
GA, VA
In the registry since
2009
Specialties on file
2
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

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone: (703) 776-4401
Fax: (703) 776-7113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 Hemlock St, Macon, GA 31201-2102 — (478) 633-1700

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101251159 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 003711 (GA)

Record details

NPI number1487883740
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2009
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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