DR. LYUDMILA V. MOROZOVA M.D.
NPI 1124294350
Radiology - Diagnostic Radiology in Portland, OR

Q: What is Lyudmila Morozova's NPI number?

The NPI number for Lyudmila Morozova is 1124294350. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Q: What is Lyudmila Morozova's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lyudmila Morozova was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 07, 2008PECOS EnrolledAccepts Medicare Assignment

91.58/100

CMS Quality Rating

3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Lyudmila V. Morozova M.d. NPPES

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

DR. LYUDMILA V. MOROZOVA M.D. (NPI 1124294350) is an individual diagnostic radiology provider in Portland, Oregon, licensed in Oregon (MD161679) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2008).

NPPES Registry Identity

NPI1124294350

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. LYUDMILA V. MOROZOVACredential: M.D.

Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011

Mailing Address10839 Se Henderson StPortland, OR 97266-8013 · (503) 784-9875

Phone(503) 494-8211

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2008

Enumeration DateMay 7, 2008

Last NPPES UpdateJune 12, 2013

✔ NPI 1124294350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in OR · MD161679

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3181 SW SAM JACKSON PARK RD, Portland, OR 97239

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lyudmila V. Morozova M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799930574

PECOS Enrollment IDI20130712000238

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 Billing Reassignment

Medicare enrollment records show Lyudmila Morozova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Radiology Specialists Of The Northwest, PC

3.9 mi

Diagnostic Radiology

545 NE 47TH AVE, SUITE 215
Portland, OR 97213

Reassigned Medicare billing, Oregon enrollment
30 clinicians in this Medicare group

NPI 1699759498 (503) 731-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 49

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

272 services253 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

207 services203 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

188 services168 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

159 services151 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

108 services100 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

85 services80 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

63 services63 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

58 services58 patients

Nuclear medicine study of bone and/or joint whole body 78306

A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.

58 services53 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

52 services52 patients

X-ray of chest, 2 views 71046

49 services47 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

47 services47 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

47 services47 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

43 services42 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

41 services38 patients

Nuclear medicine study whole body with ct scan 78816

A Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.

41 services35 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

40 services33 patients

Ct scan of chest without contrast 71250

39 services39 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

38 services36 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

37 services37 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

33 services33 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

31 services29 patients

Ct scan of abdomen before and after contrast 74170

A CT scan of the abdomen before and after contrast is a diagnostic procedure. It involves taking detailed images of your abdomen area. Initially, images are taken without a contrast agent. Then, a contrast dye is given to highlight specific areas inside your body, helping to provide clearer images for better diagnosis.

26 services26 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

26 services25 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

26 services26 patients

Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging 78830

A nuclear medicine study with SPECT and concurrent CT scan is a special imaging test. It uses a small amount of radioactive substance and advanced imaging techniques to create detailed pictures of your internal body structures. It aids in diagnosing and tracking the progress of treatment for various diseases.

26 services24 patients

Nuclear medicine study of bone and/or joint multiple areas 78305

A nuclear medicine study of bone and/or joint multiple areas involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits signals that a special camera captures, creating images of your bone structure. It helps detect bone diseases and conditions.

25 services25 patients

Ct scan of abdomen and pelvis with contrast 74177

23 services23 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

22 services19 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

22 services21 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

20 services20 patients

Limited ultrasound scan of abdomen 76705

20 services20 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

19 services19 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

18 services16 patients

Nuclear medicine study of stomach to assess emptying 78264

A nuclear medicine study of the stomach assesses how quickly food leaves the stomach. A safe, radioactive substance is added to a meal. The radiation emitted is tracked, creating images that show the food's progress through the stomach. It's non-invasive and painless.

18 services17 patients

Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging 78803

A nuclear medicine study with SPECT involves a safe, small amount of radioactive substance to help visualize body organs. SPECT, or Single Photon Emission Computed Tomography, creates detailed 3D images. This helps doctors diagnose and monitor conditions in a specific body area.

18 services18 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

17 services15 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

17 services17 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

17 services17 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

16 services16 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

16 services16 patients

Mri scan of abdomen before and after contrast 74183

15 services15 patients

Low dose ct scan of chest for lung cancer screening 71271

14 services14 patients

Ct scan of abdomen before and after contrast 74170

14 services13 patients

X-ray of ribs on side of body, minimum of 3 views 71101

This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.

12 services12 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

11 services11 patients

X-ray of middle spine, 3 views 72072

An X-ray of the middle spine, with 3 views, is a diagnostic procedure where images are taken from different angles (front, side, and angled) to assess the health of your spine. It helps identify issues like fractures, tumors, or degenerative conditions.

11 services11 patients

Ct scan of abdomen and pelvis without contrast 74176

11 services11 patients

Ct scan of abdomen and pelvis before and after contrast 74178

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380025

Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County

Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380038

Location1500 Division StreetOregon City, OR 97045 · Clackamas County

Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380082

Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Providence Hood River Memorial Hospital

Critical Access Hospitals · Hood River, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381318

Location810 12th StreetHood River, OR 97031 · Hood River County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.58/100

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

Scored as part of a group practice

Quality

94.14

Improvement Activities

Cost

78.74

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.

DONALD RICHARD SULLIVAN MD

Internal Medicine (Pulmonary Disease)

3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239

Multnomah County (503) 494-6949

MRS. ANJALEE NIX ROWE NP

Nurse Practitioner (Acute Care)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-3988

REEM HASAN MD

Internal Medicine

3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239

Multnomah County (503) 494-8562

DR. AMANDA D BALL PSY.D

Psychologist (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-6176

SUNSHINE WELSCH LMT

Massage Therapist

3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239

Multnomah County (503) 494-8349

DR. ROBERT GENE MEALER M.D., PH.D.

Psychiatry & Neurology (Psychiatry)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-6176

GREGORY HALL MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-0990

DR. BURHAN AHMED MIAN MD

Student in an Organized Health Care Education/Training Program

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

KARINA RAE ESPANA MD

Psychiatry & Neurology (Psychiatry)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

CLAIRE SAHLBERG RUGGERI MD

Pediatrics

3181 SW SAM JACKSON PARK RD, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8220

KIMBERLY LAUREN IMBESI MD

Emergency Medicine

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8211

ANN PERRIN

Student in an Organized Health Care Education/Training Program

3181 SW SAM JACKSON PARK RD, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8211

KRIS KUMAR

Internal Medicine (Interventional Cardiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

SARAH POWER LCSW

Social Worker (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-0849

SHAHRZAD SHARAFI MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-0990

JULIE MARIE MARTIN

Dietitian, Registered

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-5466

DR. SONYA FABRICANT MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-4500

BRENDA BONILLA

Social Worker (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-2273

KAYLEE PURPURA

Otolaryngology

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8510

MOLLY ANDERSON PA-C

Physician Assistant (Medical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-4910

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 Lyudmila Morozova's NPI number?

The NPI number for Lyudmila Morozova is 1124294350. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Lyudmila Morozova located?

Lyudmila Morozova practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Lyudmila Morozova's specialty?

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

Is Lyudmila Morozova enrolled in Medicare?

Yes. Lyudmila Morozova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lyudmila Morozova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lyudmila Morozova reassigns Medicare benefits to Radiology Specialists Of The Northwest, PC (Portland, OR). The 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 Lyudmila Morozova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lyudmila Morozova affiliated with any hospitals?

According to CMS data, Lyudmila Morozova is affiliated with Legacy Mount Hood Medical Center, Providence Willamette Falls Medical Center, Providence Portland Medical Center, Providence Milwaukie Hospital and Providence Hood River Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lyudmila Morozova was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.