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

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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 North Star Cn Lp, North Star Fm Lp, North Star Mcd Llc, North Star Mri Of Frisco Lp, Smi Imaging Llc, Health Diagnostics Of California A Professional Corporation, North Star Fp Lp, North Star Npt Lp, North Star Diagnostic Imaging Llc, Singleton Associates Pa, Eagle Partners, Pllc 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 NameRonald Kizziar
GenderMale
SpecialityDiagnostic Radiology
Experience29 Years
Location545 Ne 47th Ave, Portland, Oregon
Accepts Medicare AssignmentsYes. 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: I20050709000065

Medical Identifiers

Medical identifiers for Ronald Kizziar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316924046NPI-NPPES
840126006OtherORREGENCE BS/BC
P0058316OtherORRR MC
8376576MedicaidWA
226863MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD21310 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Duncan Regional Hospital, IncDuncan, OKHospital
Oklahoma Spine HospitalOklahoma city, OKHospital
Community Hospital, LlcOklahoma city, OKHospital
Memorial HealthLawton, OKHospital
Oklahoma Center For Orthopaedic & Multi-spOklahoma city, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Star Cn Lp054758937620
North Star Fm Lp115359176322
North Star Mcd Llc266865943477
North Star Mri Of Frisco Lp276957485472
Smi Imaging Llc3476696220380
Health Diagnostics Of California A Professional Corporation4284621525176
North Star Fp Lp680016857649
North Star Npt Lp842646826540
North Star Diagnostic Imaging Llc872911802169
Singleton Associates Pa6305731118814
Eagle Partners, Pllc9032205752170

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 NameSmi Imaging LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180824000622
Entity NameSingleton Associates PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538107875
PECOS PAC ID: 6305731118
Enrollment ID: O20210811002283
Entity NameHealth Diagnostics of California a Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20221123002651
Entity NameEagle Partners PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548450976
PECOS PAC ID: 9032205752
Enrollment ID: O20230111000035
Entity NameSimonmed Reno PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306576145
PECOS PAC ID: 5991140360
Enrollment ID: O20240524001372
Entity NameNorth Star CN LP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013305945
PECOS PAC ID: 0547589376
Enrollment ID: O20241014003689
Entity NameNorth Star Mcd LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700550282
PECOS PAC ID: 2668659434
Enrollment ID: O20241106002560
Entity NameNorth Star FM LP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174812028
PECOS PAC ID: 1153591763
Enrollment ID: O20241120000241
Entity NameNorth Star FP LP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033630835
PECOS PAC ID: 6800168576
Enrollment ID: O20241213000426
Entity NameNorth Star Mri of Frisco LP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649356759
PECOS PAC ID: 2769574854
Enrollment ID: O20241220000564
Entity NameNorth Star GV LP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922512664
PECOS PAC ID: 0648539023
Enrollment ID: O20250102001074
Entity NameNorth Star Mri LP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033174701
PECOS PAC ID: 5890762330
Enrollment ID: O20250107003900
Entity NameNorth Star Npt LP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699387647
PECOS PAC ID: 8426468265
Enrollment ID: O20250225003421
Entity NameNorth Star Diagnostic Imaging LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467787739
PECOS PAC ID: 8729118021
Enrollment ID: O20250714001553

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 AddressPractice 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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