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RUSS TATSUTO KALANI OMIZO M.D. NPI 1770571556


NPI Information

NPI: 1770571556
Provider Name: RUSS TATSUTO KALANI OMIZO, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
2500 NE NEFF RD
BEND, OR
ZIP 97701
Phone: (541) 706-5800
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Russ Tatsuto Kalani Omizo, M.D. is a radiation oncology radiology in Bend, OR with 31 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Russ Tatsuto Kalani Omizo, M.D. NPI is 1770571556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

2500 NE NEFF RD
BEND, OR
ZIP 97701-015
Phone: (541) 706-5800

The NPI 1770571556 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.

  • Ct scan guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Radiation treatment management, 5 treatments (HCPCS:77427)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment devices, design and construction, complex (HCPCS:77334)
  • Management of radiation therapy, complex (HCPCS:77263)

The enumeration date for this NPI number is 10/6/2005 and was last updated on 4/22/2020.


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
12085R0001XRadiologyRadiation OncologyMD18876OREGONYes
22085R0203XRadiologyTherapeutic RadiologyMD18876OREGONNo

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: 4/28/2024

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