Individual provider Active NPI

Edward G. Oorjitham, MD

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1104803360
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5113 Issued in TX
Practice address
1205 N Ed Carey Dr
Suite 2C
Harlingen, TX 78550-9204
Phone
(956) 440-8020
Fax
(956) 440-8131
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J5113 TX Primary

Addresses

Primary practice location

1205 N Ed Carey Dr
Suite 2C
Harlingen, TX 78550-9204

Mailing address

1205 N Ed Carey Dr
Suite 2C
Harlingen, TX 78550-9204
Phone (956) 440-8020

Other identifiers 3

IdentifierTypeStateIssuer
139228404MedicaidTX
45D0957184OtherTXCLIA
0018DFOtherBC/BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eoorjitham@direct.practicefusion.com Health Information Exchange (HIE)

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
I20050429000373 TX Practitioner - Family Practice 7315986288 Practice locations: Harlingen, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1205 N Ed Carey Dr
2C
Harlingen, TX 78550-9207

Hospital & facility affiliations

  • VHS Harlingen Hospital Company LLC Hospital, Harlingen, TX, CCN 450033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5113TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward G Oorjitham MD PA Family Medicine 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1104803360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N ED CAREY DR",
            "address_2": "SUITE 2C",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785509204",
            "telephone_number": "956-440-8020",
            "fax_number": "956-440-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N ED CAREY DR",
            "address_2": "SUITE 2C",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785509204",
            "telephone_number": "956-440-8020",
            "fax_number": "956-440-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OORJITHAM",
        "first_name": "EDWARD",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139228404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0957184",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0018DF",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eoorjitham@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR Encrypted",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1205 N Ed Carey Dr",
            "address_2": "Suite 2C",
            "city": "Harlingen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785509204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.