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Kenny Susanto, MD

Neurology Physician in Tulsa, OK · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255783270

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Registry record

Entity type Individual (Type 1)
Name Kenny Susanto
Credential MD
Sex Male
Practice address 2000 S Wheeling Ave Ste 701, Tulsa, OK, 74104
Phone (918) 748-7810
Enumeration date Jul 2, 2016
Last updated in NPPES Jun 27, 2022

Taxonomy & licenses

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 1.065004 (CT) Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 008863 (GA) Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 38794 (OK) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kenny Susanto?
The National Provider Identifier (NPI) for Kenny Susanto is 1255783270, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kenny Susanto practice?
The practice location on file with NPPES is in Tulsa, OK. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-27.