Omar J Bhutta
MD | Pediatric Critical Care Medicine | Male
Omar J Bhutta, MD is a Portland, Oregon based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Omar J Bhutta is
2801 N Gantenbein Ave, Portland, Oregon - 97227-1623. He can be contacted on phone at
503-276-6565.
Omar J Bhutta is a sole proprietor of his business.
NPI number (Unique professional ID) for Omar J Bhutta is
1033122502 which was assigned by NPPES on 14 Aug, 2006 and it was last updated on 07 Dec, 2022.
Omar J Bhutta license number is
MD174110 for Pediatrics, Pediatric Critical Care Medicine (2080P0203X) in Oregon.
Omar J Bhutta is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Omar J Bhutta basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Critical Care Medicine |
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| Provider Name : | Omar J Bhutta |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Omar J Bhutta address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2801 N Gantenbein Ave
Portland, OR, 97227-1623
United States |
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| Phone Number : | 503-276-6565 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033122502 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Aug, 2006 |
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| Last Updated On : | 07 Dec, 2022 |
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Medicare Participation:
Omar J Bhutta participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3375794837 |
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| Medicare Enrollment ID : | I20151222000659 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Pittsburgh School Of Medicine |
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| Graduation Year : | 2005 |
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| Accepts Medicare? | Yes. Omar J Bhutta accepts medicare insurance. |
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Group Practice Association:
Omar J Bhutta is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Omar J Bhutta is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Legacy Emanuel Hospital And Health Center | 4587573639 | 159 | 2801 N Gantenbein Ave
Portland, OR - 972271623
Ph: 5034134505 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Omar J Bhutta are as mentioned. Primary taxonomy code for Omar J Bhutta, MD is
2080P0203X (Pediatrics, Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | ML20008350 | WA |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | No | LT-3189 | NH |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | No | 15905 | NH |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | Yes | MD174110 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Omar J Bhutta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 002932001 | MEDICARE PIN | NH | |
| 1021010 | MEDICAID | VT | |
| 32001711 | MEDICAID | NH | |
| 500693056 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2801 N Gantenbein Ave
Portland, OR, 97227-1623
United States |
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| Phone Number : | 503-276-6565 |
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Business Location:
Patients can refer following map for directions to
Omar J Bhutta practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.