Ronald Kizziar, MD in Portland, OR - Medicare Diagnostic Radiology

Ronald Kizziar, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Portland, Oregon. He went to Loma Linda University School Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Smi Imaging Llc, Smi Imaging Llc, Health Diagnostics Of California A Professional Corporation and his current practice location is 545 Ne 47th Ave, Suite 215, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 731-2904.

Ronald Kizziar is licensed to practice in Oregon (license number MD21310) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316924046.

Contact Information

	Ronald Kizziar, MD
	545 Ne 47th Ave, Suite 215, Portland, OR 97213-2238
	(503) 731-2904
	Not Available

Map and Direction

Physician's Profile

Full Name	Ronald Kizziar
Gender	Male
Speciality	Diagnostic Radiology
Experience	29 Years
Location	545 Ne 47th Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ronald Kizziar attended and graduated from Loma Linda University School Of Medicine in 1997

NPI Data:

NPI Number: 1316924046
Provider Enumeration Date: 12/23/2005
Last Update Date: 11/18/2010

Medicare PECOS Information:

PECOS PAC ID: 9830185917
Enrollment ID: I20040423000224

Medical Identifiers

Medical identifiers for Ronald Kizziar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316924046	NPI	-	NPPES
8376576	Medicaid	WA
840126006	Other	OR	REGENCE BS/BC
226863	Medicaid	OR
P0058316	Other	OR	RR MC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD21310 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Smi Imaging Llc	3476696220	255
Smi Imaging Llc	3476696220	255
Health Diagnostics Of California A Professional Corporation	4284621525	119

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. Ronald Kizziar allows following entities to bill medicare on his behalf.

Entity Name	The Oregon Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

Entity Name	Radiology Specialists Of The Northwest Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699759498 PECOS PAC ID: 6204829963 Enrollment ID: O20040407000754

Entity Name	Smi Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20220714000556

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. Ronald Kizziar 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
Ronald Kizziar, MD 545 Ne 47th Ave, Suite 215, Portland, OR 97213-2238 Ph: (503) 731-2904	Ronald Kizziar, MD 545 Ne 47th Ave, Suite 215, Portland, OR 97213-2238 Ph: (503) 731-2904

Reviews and Comments

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Ronald Kizziar, MD - Medicare Diagnostic Radiology in Portland, OR