Carlos Ortega Ceballo

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

311722 Issued in NY

Practice address

810 Larchmont Rd
Elmira, NY 14905-1219

Phone

(347) 664-0051

NPI assigned

Apr 19, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medassist NJ IIGroup PAC ID 1557717428, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.64 of 100Reported as group

Quality

55.31

Promoting interoperability

99

Improvement activities

40

Cost

76.8

Merit-based Incentive Payment System (MIPS)

Final score

80.15 of 100Reported as group

Quality

46.76

Promoting interoperability

100

Improvement activities

40

Cost

77.08

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Medassist NJ II

  • Geriatric Medicine (Family Medicine) Physician
  • Lakewood, NJ
  • NPI 1336928407

  NY

  Medicare reassignment Care Compare group NPD
• Maimonides Faculty Practice Plan

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053344846
  Medicare reassignment NPD
• Okemefuna Okpara MD Ny PLLC

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1669359618
  Medicare reassignment NPD
• Medequipped LLC

  • Customized Equipment (DME)
  • Spring Valley, NY
  • NPI 1619489044
  NPD
• Chautauqua PT OT & SLP Professionals PLLC

  • Specialist
  • Jamestown, NY
  • NPI 1710910690
  NPD (past)
• The Chautauqua Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dunkirk, NY
  • NPI 1760747521
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1053845602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 LARCHMONT RD",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051219",
            "telephone_number": "347-664-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LARCHMONT RD",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051219",
            "telephone_number": "347-664-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA CEBALLO",
        "first_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "311722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Lynne Oldenbusch, MSPT
• Anthony F Oliva, DO
• Anjolaoluwa A Oluyede, MD
• Emily A Oparil, LPN
• Oral Maxillofacial Surgery of the Southern Tier, PC
• Orthodontic Associates of the Southern Tier P.C.
• Orthopedic and Sports Therapy Associates, LLP
• Kaitlin Osburn, SLP
• Sarah Jessica Osburn
• Bryan Osgood, OTR/L

• Internal Medicine Physician in Elmira, NY
• Providers in Elmira, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.