OMAR J BHUTTA MD
NPI 1033122502
Pediatrics - Pediatric Critical Care Medicine in Portland, OR

Q: What is Omar Bhutta's NPI number?

The NPI number for Omar Bhutta is 1033122502. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Omar Bhutta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Omar Bhutta was last updated on December 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 14, 2006PECOS Enrolled

86.22/100

CMS Quality Rating

2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 276-6565 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2022, Aug 1, 2022 (2 updates tracked since 2022).

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About Omar J Bhutta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMAR J BHUTTA MD (NPI 1033122502) is an individual pediatric critical care medicine provider in Portland, Oregon, licensed in Oregon (MD174110) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033122502

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameOMAR J BHUTTACredential: MD

Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623

Mailing Address2801 N Gantenbein AvePortland, OR 97227-1623 · (503) 276-6565

Phone(503) 276-6565

Sole ProprietorNo

Enumeration DateAugust 14, 2006

Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration

NPPES CertifiedDecember 7, 2022

✔ NPI 1033122502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in OR · MD174110✔ Licensed in NH · LT-3189✔ Licensed in NH · 15905

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License ML20008350 (WA)

2801 N GANTENBEIN AVE, Portland, OR 97227

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Other Identifiers 3

Medicaid32001711NH

Medicaid500693056OR

Medicaid1021010VT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omar J Bhutta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.64

Promoting Interoperability

Improvement Activities

Cost

49.32

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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