SOUTHERN OREGON CARDIOLOGY LLC
NPI 1033444781
Internal Medicine - Cardiovascular Disease in Medford, OR
About Southern Oregon Cardiology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN OREGON CARDIOLOGY LLC (NPI 1033444781) is a healthcare organization registered as a cardiovascular disease in Medford, Oregon and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Richard Bodager, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Oregon Cardiology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Southern Oregon Cardiology LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 36Medford, OR 97504
Medford, OR 97504
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D0973870
Southern Oregon Cardiology LLC · Medford, ORFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southern Oregon Cardiology LLC's NPI number?
The NPI number for Southern Oregon Cardiology LLC is 1033444781. It was assigned to this organization in the NPPES registry on October 14, 2009.
Where is Southern Oregon Cardiology LLC located?
Southern Oregon Cardiology LLC is located at 520 Medical Center Dr Ste 200, Medford, OR 97504. The listed phone number is (541) 282-6600.
What is Southern Oregon Cardiology LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Southern Oregon Cardiology LLC enrolled in Medicare?
Yes. Southern Oregon Cardiology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Oregon Cardiology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 4 Medicare specialties reassign their Medicare billing to Southern Oregon Cardiology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (14), Nurse Practitioner (11) and Interventional Cardiology (8). Of these, 6 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Oregon Cardiology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D0973870) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Oregon Cardiology LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Southern Oregon Cardiology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southern Oregon Cardiology LLC was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southern Oregon Cardiology Llc · NPI 1033444781
Cardiovascular Disease organization in Medford, Oregon. Organization record, active in the CMS NPPES registry since October 14, 2009.
## Identity
- **NPI:** 1033444781 (Entity type: Organization)
- **Enumerated:** October 14, 2009
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Richard Bodager, CEO
## Practice location
- **Address:** 520 MEDICAL CENTER DR, STE 200, Medford, OR 97504-4314
- **Phone:** (541) 282-6600 · **Fax:** (541) 282-6601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (14), Nurse Practitioner (11), Interventional Cardiology (8); 6 practice at this address and 27 within 10 miles; [full list](https://npiprofile.com/npi/1033444781/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2012
- **Other identifiers:** Medicare PIN R150509 (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033444781) · Data from the CMS NPPES public registry.