Individual provider Active NPI

Paola Andrea Ortega-Rodriguez, M.D

  • Pediatrics Physician
  • North Chesterfield, VA
National Provider Identifier
1104054345
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101258599 Issued in VA
Practice address
3914 Meadowdale Blvd
North Chesterfield, VA 23234-5547
Phone
(804) 447-3490
Fax
(804) 447-3872
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101258599 VA Primary

Addresses

Primary practice location

3914 Meadowdale Blvd
North Chesterfield, VA 23234-5547

Mailing address

3914 Meadowdale Blvd
North Chesterfield, VA 23234-5547
Phone (804) 447-3490

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

State licenses

LicenseStateTypeSpecialty
0101258599VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortega-Rodriguez Medical Services , Inc Pediatrics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486771200000",
    "number": "1104054345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 MEADOWDALE BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232345547",
            "telephone_number": "804-447-3490",
            "fax_number": "804-447-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 MEADOWDALE BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232345547",
            "telephone_number": "804-447-3490",
            "fax_number": "804-447-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA-RODRIGUEZ",
        "first_name": "PAOLA",
        "middle_name": "ANDREA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2017-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101258599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.