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JAMES EDWARD O'DORISIO M.D. NPI 1598820219


NPI Information

NPI: 1598820219
Provider Name: JAMES EDWARD O'DORISIO, M.D.
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
76 BROOKWOOD AVE
SANTA ROSA, CA
ZIP 95404
Phone: (707) 578-3000
Get Directions

James Edward O'dorisio, M.D. is a thoracic surgery cardiothoracic vascular surgery in Santa Rosa, CA with 42 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. James Edward O'dorisio, M.D. NPI is 1598820219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:1982

The provider's business location address is:

76 BROOKWOOD AVE
SANTA ROSA, CA
ZIP 95404-312
Phone: (707) 578-3000
Fax: (707) 540-6407

The NPI 1598820219 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.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Management and supervision of oxygen chamber therapy per session (HCPCS:99183)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/11/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryA44147CALIFORNIANo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)A44147CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A441470OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
200A441473MEDICARE PINCALIFORNIA
300A441474MEDICARE PINCALIFORNIA
4E40617MEDICARE UPINCALIFORNIA
500A441471MEDICARE PINCALIFORNIA
6P00462712OTHERRAILROAD MEDICARE
700A441475MEDICARE PINCALIFORNIA
800A441470MEDICAIDCALIFORNIA
900A441472MEDICARE PINCALIFORNIA

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: 11/14/2023

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.