SHLOMO LEIBOWICH MD
NPI 1992763668
Radiology - Diagnostic Radiology in Walnut Creek, CA

Q: What is Shlomo Leibowich's NPI number?

The NPI number for Shlomo Leibowich is 1992763668. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Shlomo Leibowich'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 Shlomo Leibowich was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 03, 2006PECOS EnrolledAccepts Medicare Assignment

2125 OAK GROVE RD, SUITE 200, WALNUT CREEK, CA 94598(925) 296-7150(296) 296-7171 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2023, Aug 15, 2023, Aug 7, 2023 (3 updates tracked since 2023).

On this page

About Shlomo Leibowich Md NPPES

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

SHLOMO LEIBOWICH MD (NPI 1992763668) is an individual diagnostic radiology provider in Walnut Creek, California, licensed in California (C54679) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Menlo Park, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1992763668

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameSHLOMO LEIBOWICHCredential: MD

Location Address2125 OAK GROVE RD, SUITE 200Walnut Creek, CA 94598-2536

Mailing Address2125 Oak Grove Rd Ste 200Walnut Creek, CA 94598-2520 · (925) 296-7150

Phone(925) 296-7150

Fax(296) 296-7171

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateMay 3, 2006

Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1992763668 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 CA · C54679

Definition

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

2125 OAK GROVE RD, Walnut Creek, CA 94598

Open in Google Maps ↗

Secondary Practice Location 1

Location 11300 Crane StMenlo Park, CA 94025-4260 · Phone (650) 498-6530

Other Identifiers 1

Medicaid54957600FL

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

Shlomo Leibowich Md 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 ID4486636644

PECOS Enrollment IDI20130129000447

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 Reassignments

Medicare enrollment records show Shlomo Leibowich reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bay Imaging Consultants Medical Group Inc

Same address

Diagnostic Radiology

2125 OAK GROVE RD STE 200
Walnut Creek, CA 94598

Reassigned Medicare billing, California enrollment
181 clinicians in this Medicare group

NPI 1831756139 (925) 296-7150

John Muir Magnetic Imaging Center

1.7 mi

Diagnostic Radiology

1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598

Reassigned Medicare billing, California enrollment
129 clinicians in this Medicare group

NPI 1235184110 (925) 296-7156

John Muir Trauma Physicians Billing Service

1.7 mi

Trauma Surgery

1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598

Reassigned Medicare billing, California enrollment
810 clinicians in this Medicare group

NPI 1962551861 (925) 947-5331

Magnetic Imaging Affiliates, LLC

15 mi

Diagnostic Radiology

5730 TELEGRAPH AVE
Oakland, CA 94609

Reassigned Medicare billing, California enrollment
158 clinicians in this Medicare group

NPI 1487040770 (510) 204-2744

Solano Diagnostics Partners, A Calif Limited Partnership

21 mi

Diagnostic Radiology

4500 BUSINESS CENTER DR
Fairfield, CA 94534

Reassigned Medicare billing, California enrollment
88 clinicians in this Medicare group

NPI 1972006534 (855) 820-5256

University Healthcare Alliance

27 mi

Internal Medicine

7999 GATEWAY BLVD STE 200
Newark, CA 94560

Reassigned Medicare billing, California enrollment
435 clinicians in this Medicare group

NPI 1760531198 (888) 924-1036

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 50

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

2,200 services22 patients

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.

451 services421 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.

261 services258 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.

201 services162 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

156 services119 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.

142 services140 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.

134 services134 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.

133 services129 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

85 services85 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

85 services84 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

76 services73 patients

Complete ultrasound scan of abdomen 76700

72 services71 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.

62 services61 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.

62 services62 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.

59 services58 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.

58 services58 patients

Complete ultrasound scan behind abdominal cavity 76770

55 services55 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

50 services50 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

45 services45 patients

Ultrasound scan of head and neck soft tissue 76536

43 services43 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

42 services42 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.

41 services41 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

41 services41 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.

40 services40 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.

35 services33 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.

32 services32 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.

32 services32 patients

X-ray of both hips, minimum of 5 views 73523

An X-ray of both hips with a minimum of 5 views is a non-invasive imaging test. It uses a small amount of radiation to produce images of the hip joints from different angles. This aids in diagnosing conditions such as fractures, arthritis, or other hip abnormalities.

32 services32 patients

Complete ultrasound scan of pelvis 76856

27 services27 patients

Limited ultrasound scan of abdomen 76705

25 services25 patients

Single contrast x-ray of esophagus 74220

A single contrast x-ray of the esophagus is a non-invasive procedure where a radiopaque substance is swallowed to highlight the esophagus. This allows doctors to capture clear images of the area, aiding in the diagnosis of any abnormalities or issues.

23 services23 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

23 services23 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.

22 services22 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

22 services22 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.

21 services19 patients

Ct scan of blood vessels of abdomen and pelvis with contrast 74174

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

19 services18 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.

18 services18 patients

Nuclear medicine study of parathyroid with spect and ct scan 78072

A nuclear medicine study of the parathyroid with SPECT and CT scan is a diagnostic procedure. It uses a safe radioactive substance and imaging techniques to create detailed pictures of your parathyroid glands. These images help identify any abnormalities or diseases.

18 services18 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.

17 services17 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

17 services17 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.

17 services17 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

16 services16 patients

Ct scan of leg without contrast 73700

14 services13 patients

Ultrasound scan of abdominal aorta 76706

14 services14 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.

13 services12 patients

Ct scan of abdomen and pelvis before and after contrast 74178

13 services13 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.

13 services13 patients

Ultrasound of both sides of head and neck blood flow 93880

13 services13 patients

X-ray of chest, 2 views 71046

11 services11 patients

Nuclear medicine study, whole body 78802

A whole-body nuclear medicine study involves a special camera and a small amount of radioactive material to visualize various body functions. The radioactive material, or tracer, shows how organs and tissues are working. This can help diagnose or monitor certain conditions.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

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.

DR. PHILIP J. RICH MD

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, #200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

DR. JONATHAN FISH M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

DR. JOSEPH CHAN M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

DR. ASEEM OM RAWAL M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

CHRISTOPHER C LEE MD

Radiology (Vascular & Interventional Radiology)

2125 OAK GROVE RD, #200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

SUNIL GANDHI M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

DR. RALPH WESLEY MUTCHLER M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, #200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

DR. SANGEETA GAMBHIR M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, #200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

MARK KUANG-MIAN TU M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

DR. RONALD CHAN M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

DR. RUBY CHANG M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

DR. KEYVAN NOURI M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

JOAN REYNOLDS M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

KEITH EDWIN-MOSUN TAO M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-1756

ANGELO CRUDALE MD

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

DR. NORMAN MOSCOW

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

STEPHEN HESSELTINE M.D.

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

SIVA P RAMAN

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, STE 200
WALNUT CREEK, CA 94598

Contra Costa County (410) 955-5173

DR. DANIEL KIM M.D.

Radiology (Vascular & Interventional Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

DR. KIMBERLY M. BLUMBERG M.D

Radiology (Diagnostic Radiology)

2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598

Contra Costa County (925) 296-7150

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 Shlomo Leibowich's NPI number?

The NPI number for Shlomo Leibowich is 1992763668. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Shlomo Leibowich located?

Shlomo Leibowich practices at 2125 Oak Grove Rd Suite 200, Walnut Creek, CA 94598. The listed phone number is (925) 296-7150.

What is Shlomo Leibowich's specialty?

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

Is Shlomo Leibowich enrolled in Medicare?

Yes. Shlomo Leibowich 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 organizations bill Medicare for Shlomo Leibowich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shlomo Leibowich reassigns Medicare benefits to 6 organizations: Bay Imaging Consultants Medical Group Inc (Walnut Creek, CA), John Muir Magnetic Imaging Center (Walnut Creek, CA), John Muir Trauma Physicians Billing Service (Walnut Creek, CA), Magnetic Imaging Affiliates, LLC (Oakland, CA), Solano Diagnostics Partners, A Calif Limited Partnership (Fairfield, CA) and 1 more organization, listed in the Medicare section above. Each 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 Shlomo Leibowich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shlomo Leibowich was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.