Elysa Widjaja, MD
Elysa Widjaja, MD is a Pediatric Radiology Physician in Cincinnati, OH, registered under NPI 1184331522. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 3333 BURNET AVE ML 5031, Cincinnati, OH 45229. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 35.155182 | OH | Pediatric Radiology Physician primary |
| 036.161747 | IL | Pediatric Radiology Physician |
| 036161747 | IL | Diagnostic Radiology Physician |
Licences are recorded in 2 states: OH, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Diagnostic Radiology
- PAC ID
- 1254701055
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Illinois | I20230111001683 | Practitioner - Diagnostic Radiology |
| Ohio | I20260305004065 | Practitioner - Pediatric Medicine |
Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. There are 2 separate enrolment records across 2 states (IL, OH). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Illinois and Ohio. The practice address on file is in Cincinnati, OH, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 35.155182
- Specialty
- Pediatric Radiology Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Pediatric Radiology covers
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. NUCC Health Care Provider Taxonomy, code 2085P0229X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085P0229X | Pediatric Radiology Physician Pediatric Radiology | 35.155182 | OH | primary |
| 2085P0229X | Pediatric Radiology Physician Pediatric Radiology | 036.161747 | IL | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 036161747 | IL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1184331522 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 4, 2022 |
| Last updated | Feb 12, 2026 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | MD |
| Practice address |
3333 BURNET AVE ML 5031 Cincinnati, OH 45229 (513) 636-4251 Fax (513) 636-8145 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 8 | 4 | 3 | 3 | 1 | 5 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 7 | 4 | 6 | 3 | 2 | 5 | 4 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.