JAMES E O'DORISIO MD A PROFESSIONAL CORPORATION
NPI 1083050041
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Santa Rosa, CA

Q: What is James E O'dorisio MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since May 17, 2013

76 BROOKWOOD AVE, SANTA ROSA, CA 95404(707) 578-3000(707) 540-6407 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About James E O'dorisio Md A Professional Corporation NPPES

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

JAMES E O'DORISIO MD A PROFESSIONAL CORPORATION (NPI 1083050041) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Santa Rosa, California and active in the NPI registry since May 2013. The organization lists James E. O'dorisio, Owner, as its authorized official.

NPPES Registry Identity

NPI1083050041

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameJAMES E O'DORISIO MD A PROFESSIONAL CORPORATION

Location Address76 BROOKWOOD AVESanta Rosa, CA 95404-4312

Mailing Address76 Brookwood AveSanta Rosa, CA 95404-4312 · (707) 578-3000 · Fax (707) 540-6407

Phone(707) 578-3000

Fax(707) 540-6407

Organization SubpartNo

Authorized OfficialJames E. O'dorisioOwner · (707) 578-3000

Enumeration DateMay 17, 2013

Last NPPES UpdateAugust 11, 2015

✔ NPI 1083050041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in CA · A44147

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

76 BROOKWOOD AVE, Santa Rosa, CA 95404

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James E O'dorisio Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to James E O'dorisio MD A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Odorisio, M.D.

Cardiac Surgery

NPI 1598820219

76 BROOKWOOD AVE
Santa Rosa, CA 95404

(707) 578-3000

✔ PECOS✔ Accepts MedicareSame address

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 James E O'dorisio MD A Professional Corporation's NPI number?

The NPI number for James E O'dorisio MD A Professional Corporation is 1083050041. It was assigned to this organization in the NPPES registry on May 17, 2013.

Where is James E O'dorisio MD A Professional Corporation located?

James E O'dorisio MD A Professional Corporation is located at 76 Brookwood Ave, Santa Rosa, CA 95404. The listed phone number is (707) 578-3000.

What is James E O'dorisio MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James E O'dorisio MD A Professional Corporation enrolled in Medicare?

Yes. James E O'dorisio MD A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through James E O'dorisio MD A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiac Surgery) reassigns their Medicare billing to James E O'dorisio MD A Professional Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for James E O'dorisio MD A Professional Corporation was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.