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

Dr. Susanti Rahaju Ie, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1215910781

Dr. Susanti Rahaju Ie, MD is registered under Pulmonary Disease in Roanoke, Virginia. Graduated from Tulane University School of Medicine in 1993, 33 years ago. Practices with Carilion Medical Center, a 951-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Virginia.

Years since qualifying
33
Trained at
Tulane University School of Medicine
Licensed in
GA, VA
In the registry since
2005
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

2001 Crystal Spring Ave SW Ste 300
Roanoke, VA 24014-2462
Phone: (540) 985-8505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 0101244044 (VA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 050640 (GA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 050640 (GA)

Record details

NPI number1215910781
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESApril 4, 2017

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients550
Services billed 1,062 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Carilion Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 951 clinicians in the practice; 12 are shown here.

Other providers in Roanoke