Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Russ Tatsuto Kalani Omizo, MD

Individual provider Therapeutic Radiology Physician · NPI 1770571556

Russ Tatsuto Kalani Omizo, MD is a Radiation Oncology in Bend, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 1993, 33 years ago. Practices with St Charles Health System Inc, a 383-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
33
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 NE Neff Rd
Bend, OR 97701-6015
Phone: (541) 706-5800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence MD18876 (OR)
Therapeutic Radiology Physician Taxonomy 2085R0203X · Licence MD18876 (OR)

Record details

NPI number1770571556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 6, 2005
Last updated in NPPESApril 22, 2020
Certification dateApril 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare