SUSAN E OMURA MD
NPI 1477576239
Pediatrics in Gresham, OR
About Susan E Omura Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN E OMURA MD (NPI 1477576239) is an individual pediatrics provider in Gresham, Oregon, licensed in Oregon (MD23697) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan E Omura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Omura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97204
- Reassigned Medicare billing, Washington enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Susan Omura's NPI number?
The NPI number for Susan Omura is 1477576239. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Susan Omura located?
Susan Omura practices at 25050 SE Stark St Ste 300, Gresham, OR 97030. The listed phone number is (503) 667-8878.
What is Susan Omura's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Susan Omura enrolled in Medicare?
Yes. Susan Omura is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Omura's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Omura reassigns Medicare benefits to Northwest Acute Care Specialists 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 Susan Omura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Omura accept?
Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Susan Omura 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 Susan Omura was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Susan E Omura, MD · NPI 1477576239
Pediatrics physician in Gresham, Oregon. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1477576239 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD23697 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 25050 SE STARK ST STE 300, Gresham, OR 97030-3388
- **Phone:** (503) 667-8878 · **Fax:** (503) 667-0310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northwest Acute Care Specialists PC (NPI 1215983200, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2026
- **Other identifiers:** Medicaid 286909 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1477576239) · Data from the CMS NPPES public registry.