Active NPI
Rafael Ortiz-Colberg, MD
- Surgery of the Hand (Plastic Surgery) Physician
- Webster, TX
National Provider Identifier
1003825266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- K3815
- Practice address
- 560 Blossom St
Suite a
Webster, TX 77598 - Phone
- (281) 332-8911
- NPI assigned
- Aug 5, 2006
- Last updated
- Jan 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | K3815 | TX | Primary |
Addresses
Primary practice location
560 Blossom St
Suite a
Webster, TX 77598
Mailing address
560 Blossom St
Webster, TX 77598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145852301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3815 | TX | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of Texas, PLLC | Current | Accepting new patients |
Locations
1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325
2600 N US Highway 75
Sherman, TX 75090
Phone (903) 416-3650
Organizations & group practices 1
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.
-
- Surgery Physician
- Allen, TX
- NPI 1285051094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1003825266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 BLOSSOM ST",
"city": "WEBSTER",
"state": "TX",
"postal_code": "77598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 BLOSSOM ST",
"address_2": "SUITE A",
"city": "WEBSTER",
"state": "TX",
"postal_code": "77598",
"telephone_number": "281-332-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ-COLBERG",
"first_name": "RAFAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "TX",
"license": "K3815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145852301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
- Tiffany Orosco, MA, CCC-SLP
- Jessica Orta, MD
- Victoria Orta
- Luis Orlando Ortega Regueira Sr., DMD
- Ortholonestar, PLLC (Fondren Orthopedic Group)
- Amara Elenni Osita
- Dara Michelle Ostermayer, BSN, RN, IBCLC
- Marion La Shae Oveal White, APRN-CNP
- Katerra Ione Pacheco, A-GNP-C
- Pain Management & Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.