Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487334454 Individual Practitioner Male Practitioner

Dr. Abraham W Widjaja , DC

Chiropractor • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Abraham Widjaja, DC is a certified Chiropractor practicing in Minneapolis, MN. With approximately 3 years of clinical experience since graduating from Northwestern College Of Chiropractic in 2023, Dr. Widjaja delivers high-quality medical care to the local community at 2201 HENNEPIN AVE.

Dr. Widjaja is affiliated with Uptown Natural Care Center Pa and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2201 Hennepin Ave

Minneapolis, MN 554052738

Telephone 6123777760
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Northwestern College Of Chiropractic

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Minneapolis, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -16.5 yrs vs City Avg
City Avg: 19.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
245 Specialists

Practicing in Minneapolis, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Widjaja (3 Years) 3 Yrs
Minneapolis Specialty Average (19.5 Years) 19.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-05-16
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 7123

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Hospital & Practice Group Affiliations

Uptown Natural Care Center Pa

2201 Hennepin Ave, Minneapolis, MN 554052738

Phone: 6123777760

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1740361971

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated May 16, 2024

Recorded as ABRAHAM WIDJAJA, DC

NPI Profile Active July 24, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2023

Registered at 2201 HENNEPIN AVE, MINNEAPOLIS, MN 554052738 (Tel: 6123777760)

📍
Updated Business Mailing Address July 24, 2023

Registered at 1770 BRYANT AVE S APT 201, MINNEAPOLIS, MN 554033140 (Tel: 7122121236)

👤
Provider Name / Credentials Updated July 24, 2023

Recorded as AARON WIDJAJA, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2023

Chiropractor (License #7123 in MN)

🟢
Initial NPI Registration & Enumeration July 24, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487334454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2023
Last Update: May 16, 2024
Sole Proprietor: No

Mailing Address

1770 Bryant Ave S Apt 201

Minneapolis, MN 554033140

Phone: 7122121236

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.