Dr Durba Dutta, MD in Santa Rosa, CA - Medicare Diagnostic Radiology

Dr Durba Dutta, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Santa Rosa, California. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Modesto Radiological Medical Group Inc, Turlock Imaging Services, Llc and her current practice location is 3883 Airway Dr Ste 100, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 521-4480.

Dr Durba Dutta is licensed to practice in California (license number RHL00161349) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053342212.

Contact Information

	Dr Durba Dutta, MD
	3883 Airway Dr Ste 100, Santa Rosa, CA 95403
	(707) 521-4480
	(707) 521-4460

Map and Direction

Physician's Profile

Full Name	Dr Durba Dutta
Gender	Female
Speciality	Diagnostic Radiology
Experience	32 Years
Location	3883 Airway Dr Ste 100, Santa Rosa, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Durba Dutta attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1992

NPI Data:

NPI Number: 1053342212
Provider Enumeration Date: 07/06/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0547238065
Enrollment ID: I20060831000525

Medical Identifiers

Medical identifiers for Dr Durba Dutta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053342212	NPI	-	NPPES
3845061	Other		CIGNA
G87087	Other	CA	STATE MEDICAL LICENSE
RHL00161349	Other	CA	CALIFORNIA XRAY BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	G87087 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	RHL00161349 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emanuel Medical Center	Turlock, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Modesto Radiological Medical Group Inc	2062300239	74
Turlock Imaging Services, Llc	3678850922	18

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Durba Dutta allows following entities to bill medicare on her behalf.

Entity Name	Modesto Radiological Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992747547 PECOS PAC ID: 2062300239 Enrollment ID: O20040513000453

Entity Name	Los Angeles Radiology Medical Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366525487 PECOS PAC ID: 7517968167 Enrollment ID: O20070124000506

Entity Name	Turlock Imaging Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295279859 PECOS PAC ID: 3678850922 Enrollment ID: O20170515001875

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Durba Dutta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Durba Dutta, MD 325 Distel Circle, Los Altos, CO 94002-1408 Ph: (707) 521-4480	Dr Durba Dutta, MD 3883 Airway Dr Ste 100, Santa Rosa, CA 95403 Ph: (707) 521-4480

Reviews and Comments

Radiology Doctors in Santa Rosa, CA

Alan A. Larocque, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Dr. Alvaris W Duffis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3325 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-576-4475
Katherine R. Vickery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
David Howard Schmidt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-578-6258
Dr. Shawn Daly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-525-4095
Clifford F Sweet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-569-4740
Gregory P Penning, R.T.(R)(CT)ARRT Radiology Medicare: Not Enrolled in Medicare Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Dr Durba Dutta, MD - Medicare Diagnostic Radiology in Santa Rosa, CA