Imam Eko Tjahja, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

J9393 Issued in TX

Practice address

600 N Union Ave
New Braunfels, TX 78130-4194

Phone

(830) 606-9111

Fax

(830) 643-5102

NPI assigned

Oct 27, 2005

Last updated

Aug 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Interventional Cardiology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
• Children's Hospital of San Antonio Hospital, San Antonio, TX, CCN 453315

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GHADCD/Endpoint/GHADCD
• Direct secure messaging: itjahja309001@christushealth.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Christus Santa Rosa Health Care Corporation

  dba Christus Santa Rosa Hospital - New Braunfels

  • General Acute Care Hospital
  • New Braunfels, TX
  • NPI 1114725033
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Santa Rosa Health Care Corporation

  dba CHRISTUS Santa Rosa Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1194787218
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  dba Childrens Hospital of San Antonio

  • Children's Hospital
  • San Antonio, TX
  • NPI 1821004151
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1760472948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-606-6400",
            "fax_number": "903-606-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N UNION AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304194",
            "telephone_number": "830-606-9111",
            "fax_number": "830-643-5102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11212 STATE HIGHWAY 151 MEDICAL PLAZA 2 STE 316",
            "address_purpose": "LOCATION",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "country_code": "US",
            "telephone_number": "210-703-8341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Pearsall",
            "state": "TX",
            "postal_code": "780613217",
            "country_code": "US",
            "telephone_number": "210-920-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12340 Bandera Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Helotes",
            "state": "TX",
            "postal_code": "78023",
            "country_code": "US",
            "telephone_number": "210-920-8000",
            "fax_number": "210-920-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TJAHJA",
        "first_name": "IMAM",
        "middle_name": "EKO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9393",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J9393",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "J9393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "629794AS1D",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104420801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tindol Health Care, LLC (Tindol Home Care)
• Dyllan Tindol, PA-C
• Jason Tipps
• Kelsey Titzman, DO
• Laura E Titzman, M.S., CCC-SLP
• TLC Senior Care, Inc. (Caring Senior Service- New Braunfels)
• TMC Provider Group PLLC (Texas MedClinic)
• TMC Provider Group, PLLC (Texas MedClinic)
• Todays Smile PLLC
• Todd a Keller, DDS, PA (Keller Periodontics)

• Cardiovascular Disease Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.