General Practitioner Practice
Aktivitas Praktik Dokter
🏥 Section Q — Human Health & Social Work
Klinik — outpatient medical clinic providing general practice (GP), dental, and primary/secondary healthcare services. Covers both **Klinik Pratama** (Tier 1: GP + general dentist, licensed by Bupati/Walikota via Dinkes Kabupaten) and **Klinik Utama** (Tier 2: multi-specialist outpatient clinic, licensed by Dinkes Provinsi). 100% PMA-open, significantly lighter than a hospital — no KARS accreditation, no inpatient ward required. **The critical bottleneck is personnel, not the business license:** every practicing doctor must hold BOTH an STR (Surat Tanda Registrasi, from KKI) AND a SIP (Surat Izin Praktik, from Dinkes Kabupaten), each location-specific. For foreign doctors: KKI credential recognition takes 6–18 months and requires IDI recommendation. Most PMA clinics in practice employ Indonesian licensed doctors as the permanent medical backbone, with foreign doctors as visiting consultants or medical directors while their KKI recognition is in process.
What You Need
PP28/2025 Licensing Data1 scale
Requirements (Indonesian)7
Post-License Obligations7
All scales
Risk: Menengah Tinggi (Medium-High). Authority: Bupati/Walikota (Klinik Pratama via Dinkes Kabupaten) or Gubernur (Klinik Utama via Dinkes Provinsi). Timeline: 7 working days from issuing authority after Dinkes inspection (fiktif positif applies).
Terbuka — 100% foreign ownership allowed.
The STR + SIP requirement — the critical path
- STR (Surat Tanda Registrasi): Issued by KKI (Konsil Kedokteran Indonesia) for medical doctors; KGKI for dentists; valid 5 years, renewable. Required documents: medical degree from accredited university, graduation certificate, competency certificate (UKMPPD/UKDGI passed), ethics certificate from IDI/PDGI. Cannot practice anywhere in Indonesia without valid STR.
- SIP (Surat Izin Praktik): Issued by Dinkes Kabupaten/Kota; location-specific — a SIP for Clinic A does not authorize practice at Clinic B; maximum 3 SIP per doctor across all locations; requires valid STR + clinic address. SIP is tied to you AND the clinic location simultaneously.
- A foreign medical degree is NOT automatically recognized; every foreign doctor must apply to KKI for Surat Keterangan Kompetensi
- Required: translated + certified degree documents, Indonesian embassy apostille, competency assessment by KKI committee
- KKI may require an equivalency examination (ujian kompetensi) — depends on country of origin and specialty
- IDI (Ikatan Dokter Indonesia) recommendation letter required alongside KKI application
- Timeline: 6–18 months — highly variable; EU/Australian/Singaporean degrees generally faster; developing country degrees longer
- Practical model used by most PMA clinics: Indonesian licensed dokter holds the STR + SIP at your clinic location; foreign doctor operates as visiting specialist or medical director while KKI recognition is in process
Step-by-step for PT PMA Klinik Pratama
Post-issuance obligations
- SIP renewal every 5 years (aligned with STR renewal)
- Annual Dinkes activity reports
- Unannounced Dinkes spot inspections — premises and staff credential verification
- BPJS kemitraan (optional, but substantially expands local patient volume for Klinik Pratama)
MATCH_LANGSUNG — direct match from KBLI 2020. PP28/2025 formalizes Bupati/Walikota as the issuing authority and establishes 7 working days as the statutory timeline. The STR + SIP framework and KKI recognition process for foreign doctors are unchanged.
Bali Intelligence
International clinics in Bali — the established market and the gaps
The tourist corridor (Kuta–Seminyak–Canggu–Nusa Dua) already has established English-speaking medical facilities:
- BIMC Hospital + Kuta Clinic — 24h emergency, trauma, medical evacuations; Australian-founded heritage; SOS Medika Bali — international rescue and corporate health contracts
- Bali Med Clinic (Seminyak) — English-speaking GP, expat-focused
- SOS Medika Clinic (Kuta, Denpasar) — corporate health contracts, international membership
Canggu/Pererenan GP + dental clinic: The digital nomad and expat corridor has exploded with 50,000+ long-term residents but severely lacks quality English-speaking GP and dental care. Most residents drive to Kuta or Seminyak for medical care. A well-positioned Klinik Pratama (GP + dentist + basic diagnostic) in Canggu would fill a documented gap.
Ubud integrative medicine clinic: The wellness tourism hub. Integrative model: Western GP + functional medicine protocols (metabolic testing, gut health, hormonal optimization) + BPJS partnership for local patients. The wellness-conscious Ubud demographic actively seeks this hybrid.
Mental health clinic: Expat mental health demand in Bali is enormous and almost entirely unmet. Licensed psychologist + psychiatrist clinic; KBLI 86201 covers psychiatric practice. Digital nomad burnout, expat adjustment disorder, relationship and family counseling — almost no competition in PMA English-language mental health space.
Aesthetic medicine clinic: Botox, PRP, fillers, skin treatments — operating under 86201 with a licensed dokter providing medical aesthetics. Canggu and Seminyak demographic is the target market. Price point: IDR 1–5M per treatment. Repeat customer, high-margin model.
BPJS partnership (faskes tingkat pertama) is not mandatory for PMA clinics but can add substantial local patient volume. For a Klinik Pratama targeting Bali's 4.5M residents alongside tourists, BPJS brings steady volume with lower margins. For tourist/expat-focused clinic: skip BPJS complexity and focus on private-pay pricing (IDR 250k–500k consultation fee).
KBLI 2025 Healthcare & Wellness: Hospital, Clinic & Medical Business Codes
kita.balizero.comTKA Eligible Positions
Kepmenaker 228/2019 — Category 12: Jasa Kesehatan & Kegiatan Sosial
Healthcare & Social Services sector TKA positions. Includes clinical practitioners and management positions eligible for foreign worker permits.
KEDUA Provision — Directors & Commissioners Exemption
- 86105 — Private Clinic (broader clinic classification for multi-practitioner setups)
- 86202 — Specialist Doctor Practice (if you employ or host specialist doctors)
- 47721 — Apotek (if you dispense prescription medications — requires separate pharmacy license)
- 86903 — Health Spa (if your clinic also offers IV drip therapy, physiotherapy, or medical aesthetic wellness services)
Related Codes
Specialist Doctor Practice
Aktivitas Praktik Dokter Spesialis
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Government Hospital
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Community Health Centre (Puskesmas)
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Private Hospital
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Government Clinic
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