SUSAN E OMURA MD
NPI 1477576239
Pediatrics in Gresham, OR

Active since July 25, 2006PECOS Enrolled
25050 SE STARK ST STE 300, GRESHAM, OR 97030(503) 667-8878(503) 667-0310 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Feb 4, 2019 (2 updates tracked since 2019).

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

NPI1477576239
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSAN E OMURACredential: MD
Location Address25050 SE STARK ST STE 300Gresham, OR 97030-3388
Mailing Address25050 Se Stark St Ste 300Gresham, OR 97030-3388 · (503) 667-8878 · Fax (503) 667-0310
Fax(503) 667-0310
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1477576239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OR · MD23697
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

25050 SE STARK ST STE 300, Gresham, OR 97030

Other Identifiers 1

Medicaid286909OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan E Omura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

Social Worker (Clinical)
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Pediatrics
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Pediatrics
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Physician Assistant (Medical)
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Pediatrics
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Pediatrics
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Nurse Practitioner (Pediatrics)
25050 SE STARK ST STE 300
GRESHAM, OR 97030
Pediatrics
25050 SE STARK ST STE 300
GRESHAM, OR 97030

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.

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 with the weekly NPPES data releases published by CMS.