James E O'Dorisio MD A Professional Corporation
NPI 1083050041ActiveOrganization· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Santa Rosa, CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Santa Rosa, California, registered in NPPES in May 2013. The authorized official on file is James E. O'Dorisio, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083050041 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2013 |
| Last updated in NPPES | Aug 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | A44147 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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