DIAGNOSTIC RADIOLOGISTS PC
NPI 1053368563
Radiology - Diagnostic Radiology in Portland, OR

Active since May 28, 2006
10123 SE MARKET, PORTLAND, OR 97216(503) 251-6132(503) 251-6136 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Diagnostic Radiologists Pc NPPES

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

DIAGNOSTIC RADIOLOGISTS PC (NPI 1053368563) is a healthcare organization registered as a diagnostic radiology in Portland, Oregon and active in the NPI registry since May 2006. The organization lists Jed Russell Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1053368563
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDIAGNOSTIC RADIOLOGISTS PC
Location Address10123 SE MARKETPortland, OR 97216
Mailing AddressPo Box 16961Portland, OR 97292-0961 · (035) 251-6855 · Fax (503) 251-6136
Fax(503) 251-6136
Organization SubpartNo
Authorized OfficialJed Russell PetersonPresident · (503) 251-6132
Enumeration DateMay 28, 2006
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
NPI 1053368563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
10123 SE MARKET, Portland, OR 97216

Other Identifiers 3

MedicaidH110076HI
Medicaid064972OR
Medicaid7805609WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Radiology (Diagnostic Radiology)
10123 SE MARKET
PORTLAND, OR 97216
Radiology (Diagnostic Radiology)
10123 SE MARKET
PORTLAND, OR 97216
Radiology (Diagnostic Radiology)
10123 SE MARKET
PORTLAND, OR 97216

Frequently 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 Diagnostic Radiologists PC's NPI number?

The NPI number for Diagnostic Radiologists PC is 1053368563. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Diagnostic Radiologists PC located?

Diagnostic Radiologists PC is located at 10123 SE Market, Portland, OR 97216. The listed phone number is (503) 251-6132.

What is Diagnostic Radiologists PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Diagnostic Radiologists PC accept?

Health plans from HMSA and Moda Health Plan, Inc. list Diagnostic Radiologists PC 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 Diagnostic Radiologists PC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.