DR. CHARA ELAINE RYDZAK MD NPI 1407176076

NPI Information

  • NPI: 1407176076
  • Provider Name: DR. CHARA ELAINE RYDZAK, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3181 SW SAM JACKSON PARK RD
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 418-0990

Map and Directions

Get Directions

NPI Details

DR. Chara Elaine Rydzak, MD is a diagnostic radiology radiology in Portland, OR with 15 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Chara Elaine Rydzak, MD NPI is 1407176076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:2010

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-011
Phone: (503) 418-0990
Fax: (503) 494-4982

The NPI 1407176076 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of heart structure with contrast (HCPCS:75572)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • Mri scan of blood flow of heart (HCPCS:75565)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)

The enumeration date for this NPI number is 6/7/2010 and was last updated on 1/28/2019.

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
12085R0202XRadiologyDiagnostic Radiology2016010398MISSOURINo
22085R0202XRadiologyDiagnostic RadiologyMD189979OREGONYes

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
1ENROLLEDMEDICAIDILLINOIS
21407176076MEDICAIDMISSOURI

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI