NPIMap

Individual provider Active NPI

Ronald Kizziar, MD

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1316924046
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD21310 Issued in OR
Practice address
545 NE 47TH Ave
Suite 215
Portland, OR 97213-2238
Phone
(503) 731-2904
NPI assigned
Dec 23, 2005
Last updated
Nov 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD21310 OR Primary

Addresses

Primary practice location

545 NE 47TH Ave
Suite 215
Portland, OR 97213-2238

Mailing address

545 NE 47TH Ave
Suite 215
Portland, OR 97213-2238
Phone (503) 731-2904

Other identifiers 4

IdentifierTypeStateIssuer
840126006OtherORREGENCE BS/BC
P0058316OtherORRR MC
8376576MedicaidWA
226863MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040423000224 OR Practitioner - Diagnostic Radiology 9830185917 Reassigns benefits to 2 organizations
I20050709000065 WA Practitioner - Diagnostic Radiology 9830185917 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Star CN LPGroup PAC ID 0547589376, 20 clinicians
North Star FM LPGroup PAC ID 1153591763, 22 clinicians
North Star MCD LLCGroup PAC ID 2668659434, 77 clinicians
North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
North Star FP LPGroup PAC ID 6800168576, 49 clinicians
North Star NPT LPGroup PAC ID 8426468265, 40 clinicians
North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

Practice addresses (Care Compare)

1425 Catalina LN
White Salmon, WA 98672-4800
Phone (972) 492-3846

4706 158TH PL SW
Lynnwood, WA 98087-2214
Phone (832) 355-4112

5653 171St Ave SE
Aditi D Modi MD
Bellevue, WA 98006-5505
Phone (480) 306-6949

58 S Madison St
Walla Walla, WA 99362-2416
Phone (855) 504-4544

9304 N Riverside Park Dr
Anne Marie McLellan DO
Nine Mile Falls, WA 99026-9645
Phone (480) 306-6949

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.15 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Star CN, LP CurrentSince Oct 15, 2025 Accepting new patients
North Star MRI LP CurrentSince Oct 15, 2025 Accepting new patients
North Star FP, LP CurrentSince Oct 15, 2025 Accepting new patients
Gateway Diagnostic Imaging LLC CurrentSince Sep 1, 2025 Accepting new patients
North Star FM, LP CurrentSince Oct 15, 2025 Accepting new patients
The Oregon Clinic PC CurrentSince Jul 1, 2003 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
The Oregon Clinic, PC CurrentSince Jul 1, 2003 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Oct 15, 2025 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
North Star MRI of Frisco LP CurrentSince Oct 15, 2025 Accepting new patients
North Star NPT LP CurrentSince Oct 15, 2025 Accepting new patients
Radiology Specialists of the Northwest, PC Diagnostic Radiology CurrentSince Apr 30, 2003 Accepting new patients
North Star MCD, LLC CurrentSince Oct 15, 2025 Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Dec 1, 2025 Accepting new patients
North Star GV, LP CurrentSince Oct 15, 2025 Accepting new patients
Advanced Medical Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Singleton Associates PA Diagnostic Radiology Past Accepting new patients
Columbia Imaging Group, PS Diagnostic Radiology Past Accepting new patients
North Star Plano Parkway, LP Past Accepting new patients

Locations

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

3560 E Flamingo Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 343-3610

2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

10538 SE Washington St
Portland, OR 97216
Phone (503) 215-0780

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

5050 NE Hoyt St
Ste 625
Portland, OR 97213
Phone (503) 731-2900

5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673

545 NE 47th Ave
Ste 215
Portland, OR 97213
Phone (503) 215-6488

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Networks

  • Freedom Health HMO Network

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1316924046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 NE 47TH AVE",
            "address_2": "SUITE 215",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132238",
            "telephone_number": "503-731-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 NE 47TH AVE",
            "address_2": "SUITE 215",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132238",
            "telephone_number": "503-731-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZZIAR",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD21310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS/BC",
            "identifier": "840126006",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "P0058316",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8376576",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226863",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.