OMAR J BHUTTA MD NPI 1033122502

NPI Information

  • NPI: 1033122502
  • Provider Name: OMAR J BHUTTA, MD
  • Classification: Pediatrics - 2080P0203X
  • Specialization: Pediatric Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2801 N GANTENBEIN AVE
    PORTLAND, OR
    ZIP 97227
  • Phone: (503) 276-6565

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NPI Details

Omar J Bhutta, MD is a pediatric critical care medicine pediatrics in Portland, OR. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Omar J Bhutta, MD NPI is 1033122502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2801 N GANTENBEIN AVE
PORTLAND, OR
ZIP 97227-623
Phone: (503) 276-6565

The NPI 1033122502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 12/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsML20008350WASHINGTONNo
22080P0203XPediatricsPediatric Critical Care MedicineLT-3189NEW HAMPSHIRENo
32080P0203XPediatricsPediatric Critical Care Medicine15905NEW HAMPSHIRENo
42080P0203XPediatricsPediatric Critical Care MedicineMD174110OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132001711MEDICAIDNEW HAMPSHIRE
2500693056MEDICAIDOREGON
31021010MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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