Active NPI
Delio Ortegon III, M.D.
- Plastic Surgery Physician
- San Antonio, TX
National Provider Identifier
1053390278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- K8672
- Practice address
- 11212 State Highway 151
Suite 260
San Antonio, TX 78251-4499 - Phone
- (210) 614-4320
- Fax
- (210) 614-4302
- NPI assigned
- Jan 16, 2006
- Last updated
- Oct 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | K8672 | TX | Primary |
| Surgery Physician | 208600000X | K8672 | TX |
Addresses
Primary practice location
11212 State Highway 151
Suite 260
San Antonio, TX 78251-4499
Mailing address
11212 State Highway 151
Suite 260
San Antonio, TX 78251-4499
Phone (210) 614-4320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hondo Emergency Physicians PLLC | Past | Accepting new patients | |
| Texas Emergency Room Services, PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Plastic Surgery Physician
- San Antonio, TX
- NPI 1194916890
-
- Emergency Medicine Physician
- Hondo, TX
- NPI 1659383685
-
- Emergency Medicine Physician
- Hondo, TX
- NPI 1275584781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1053390278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11212 STATE HIGHWAY 151",
"address_2": "SUITE 260",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514499",
"telephone_number": "210-614-4320",
"fax_number": "210-614-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11212 STATE HIGHWAY 151",
"address_2": "SUITE 260",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782514499",
"telephone_number": "210-614-4320",
"fax_number": "210-614-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGON",
"first_name": "DELIO",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "K8672",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "K8672",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.