Durba Dutta, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

RHL00161349 Issued in CA

Practice address

3883 Airway Dr Ste 100
Santa Rosa, CA 95403

Phone

(707) 521-4480

Fax

(707) 521-4460

NPI assigned

Jul 6, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

University of Missouri, Kansas City, School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Medical Center Hospital, Spokane, WA, CCN 500044

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

84.14

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment Care Compare group NPD
• Los Angeles Radiology Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1366525487
  Medicare reassignment NPD
• Modesto Radiological Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Modesto, CA
  • NPI 1992747547
  Medicare reassignment NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba Pediatrics Northwest by Mary Bridge Children's

  • Pediatrics Physician
  • Federal Way, WA
  • NPI 1407409741
  NPD
• Valley Radiology Medical Associates, Inc.

  • Radiology Clinic/Center
  • San Jose, CA
  • NPI 1396703179
  NPD (past)
• Anesthesia Associates Northwest LLC

  • Anesthesiology Physician
  • Milwaukie, OR
  • NPI 1548281751
  NPD (past)
• Madison Radiologists S C

  • Diagnostic Radiology Physician
  • Madison, WI
  • NPI 1871573725
  NPD (past)
• Marshfield Clinic Inc

  dba Marshfield Clinic Florida Teleradiology/Telehealth

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  NPD (past)
• Multicare Health System

  dba MultiCare Rockwood Imaging

  • Diagnostic Radiology Physician
  • Tacoma, WA
  • NPI 1285121442
  NPD (past)
• Multicare Health System

  dba MultiCare Rockwood Clinic

  • Internal Medicine Physician
  • Spokane, WA
  • NPI 1730687161
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  dba MultiCare Deaconess Hospital

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1356528269
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053342212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIRCLE",
            "city": "LOS ALTOS",
            "state": "CO",
            "postal_code": "940021408",
            "telephone_number": "707-521-4480",
            "fax_number": "707-521-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-521-4480",
            "fax_number": "707-521-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTA",
        "first_name": "DURBA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "RHL00161349",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G87087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G87087",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA XRAY BOARD",
            "identifier": "RHL00161349",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3845061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gnenevive Dupuy-Reyes, RASI
• Rudy Duran
• Robert Darrell Durborough, MFT
• Linda Duste, RN, IBCLC
• Amrita Dutta-Choudhury, MD
• David Lee Dutton
• Kathleen M Dutton, FNP
• Ryan Duval, L.AC.
• Rene F Dvalery, LMFT
• Anna Dwyer

• Diagnostic Radiology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.