Individual provider Active NPI

Alliskair Anibal Ortiz, MD

  • Pediatrics Physician
  • Kingsville, TX
National Provider Identifier
1053936971
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U0822 Issued in TX
Practice address
1311 E General Cavazos Blvd Ste 303C
Kingsville, TX 78363-7123
Phone
(361) 592-3237
Fax
(361) 221-1856
NPI assigned
Jun 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U0822 TX Primary
Student Health Clinic/Center 261QS1000X TX

Addresses

Primary practice location

1311 E General Cavazos Blvd Ste 303C
Kingsville, TX 78363-7123

Mailing address

3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone (361) 694-5465

Other practice location 1

700 Flournoy Rd Ste 2A
Alice, TX 78332-4088
Phone (361) 664-1417

Other practice location 2

213 S. Duval St
Mathis, TX 78368-2266
Phone (361) 547-4121

Other practice location 3

115 W Main St
Benavides, TX 78341-0641
Phone (361) 256-3663

Other practice location 4

621 E Sinton St
Sinton, TX 78387-2801
Phone (361) 364-4486

Other practice location 5

1302 S St Marys Street
Suites A, B, D
Falfurrias, TX 78355-5034
Phone (361) 325-9404

Other practice location 6

3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone (361) 694-5465

Other practice location 7

301 S. Hillside Dr
Suites 5, 6, 15
Beeville, TX 78102-5524
Phone (361) 362-0307

Other practice location 8

3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone (361) 694-5465

Other practice location 9

1133 E Sinton St
Sinton, TX 78387-2928
Phone (361) 364-4486

Other names 1

  • Alliskair Anibal Ortiz Diaz Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831004693 TX Practitioner - Pediatric Medicine 9032572490 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U0822TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Corporation of South Texas Pediatrics Current Accepting new patients
Community Action Corporation of South Texas CurrentSince Jul 5, 2023 Accepting new patients
Community Action Corporation of South Texas CurrentSince Jul 5, 2023 Accepting new patients
Community Action Corporation of South Texas Past Accepting new patients

Locations

700 Flournoy Rd
Ste 2A
Alice, TX 78332
Phone (361) 664-1417

204 E 1st St
Alice, TX 78332
Phone (361) 664-0145

301 S Hillside Dr
Ste 15
Beeville, TX 78102
Phone (361) 362-0307

1302 S St Marys St
#A
Falfurrias, TX 78355
Phone (361) 325-9404

1311 E General Cavazos Blvd
Ste 303C
Kingsville, TX 78363
Phone (361) 592-3237

213 S Duval St
Mathis, TX 78368
Phone (361) 547-4121

1133 E Sinton St
Sinton, TX 78387
Phone (361) 364-4486

621 E Sinton St
Sinton, TX 78387
Phone (361) 364-4486

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1053936971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E GENERAL CAVAZOS BLVD STE 303C",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783637123",
            "telephone_number": "361-592-3237",
            "fax_number": "361-221-1856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Flournoy Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324088",
            "country_code": "US",
            "telephone_number": "361-664-1417",
            "fax_number": "361-384-4368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 S. Duval St",
            "address_purpose": "LOCATION",
            "city": "Mathis",
            "state": "TX",
            "postal_code": "783682266",
            "country_code": "US",
            "telephone_number": "361-547-4121",
            "fax_number": "361-384-4254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W Main St",
            "address_purpose": "LOCATION",
            "city": "Benavides",
            "state": "TX",
            "postal_code": "783410641",
            "country_code": "US",
            "telephone_number": "361-256-3663",
            "fax_number": "361-221-1889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 E Sinton St",
            "address_purpose": "LOCATION",
            "city": "Sinton",
            "state": "TX",
            "postal_code": "783872801",
            "country_code": "US",
            "telephone_number": "361-364-4486",
            "fax_number": "361-364-7385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 S St Marys Street",
            "address_2": "Suites A, B, D",
            "address_purpose": "LOCATION",
            "city": "Falfurrias",
            "state": "TX",
            "postal_code": "783555034",
            "country_code": "US",
            "telephone_number": "361-325-9404",
            "fax_number": "361-221-1728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3533 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784111721",
            "country_code": "US",
            "telephone_number": "361-694-5465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S. Hillside Dr",
            "address_2": "Suites 5, 6, 15",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025524",
            "country_code": "US",
            "telephone_number": "361-362-0307",
            "fax_number": "361-492-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3533 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784111721",
            "country_code": "US",
            "telephone_number": "361-694-5465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 E Sinton St",
            "address_purpose": "LOCATION",
            "city": "Sinton",
            "state": "TX",
            "postal_code": "783872928",
            "country_code": "US",
            "telephone_number": "361-364-4486",
            "fax_number": "888-848-4259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ALLISKAIR",
        "middle_name": "ANIBAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U0822",
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISKAIR",
            "last_name": "ORTIZ DIAZ",
            "middle_name": "ANIBAL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingsville, TX

Sources for this page

Verify at the official NPI Registry.