DIAGNOSTIC RADIOLOGISTS PC
NPI 1053368563
Radiology - Diagnostic Radiology in Portland, OR
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
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diagnostic Radiologists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
62Medicare enrollment records show 62 clinicians reassign Medicare billing to Diagnostic Radiologists PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 62Portland, OR 97216
Portland, OR 97216
Clackamas, OR 97015
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Diagnostic Radiologists PC enrolled in Medicare?
Yes. Diagnostic Radiologists PC is registered in the Medicare PECOS enrollment system.
When is Diagnostic Radiologists PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Diagnostic Radiologists PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 2 Medicare specialties reassign their Medicare billing to Diagnostic Radiologists PC. 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 Diagnostic Radiology (61) and Interventional Radiology (1). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 23 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.
# Diagnostic Radiologists Pc · NPI 1053368563
Diagnostic Radiology organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since May 28, 2006.
## Identity
- **NPI:** 1053368563 (Entity type: Organization)
- **Enumerated:** May 28, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Jed Peterson, PRESIDENT
## Practice location
- **Address:** 10123 SE MARKET, Portland, OR 97216
- **Phone:** (503) 251-6132 · **Fax:** (503) 251-6136
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 62 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (61), Interventional Radiology (1); 4 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1053368563/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2024
- **Other identifiers:** Medicaid H110076 (HI); Medicaid 064972 (OR); Medicaid 7805609 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1053368563) · Data from the CMS NPPES public registry.