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

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NPI Details

James Edward O'dorisio, M.D. is a thoracic surgery cardiothoracic vascular surgery in Santa Rosa, CA with 43 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.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Removal of muscle and/or tissue, each additional 20.0 sq cm or less (HCPCS:11046)
  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of leg arteries at rest and after exercise (HCPCS:93924)
  • Removal of bone, 20.0 sq cm or less (HCPCS:11044)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Drainage of deep abscess or blood accumulation of leg or ankle (HCPCS:27603)
  • Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less (HCPCS:97605)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Application of vein wound compression bandages on lower leg, ankle, and foot (HCPCS:29581)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)
  • Chemical destruction of subsequent incompetent veins of arm or leg using imaging guidance (HCPCS:36483)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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