Individual provider Active NPI

Leandrita F Ortega, MD

  • Family Medicine Physician
  • Alamogordo, NM
National Provider Identifier
1104897248
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2012-0047 Issued in NM
Practice address
1401 10TH St
Suite a
Alamogordo, NM 88310-5012
Phone
(575) 434-5195
Fax
(575) 434-5790
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23586 OK
Family Medicine Physician 207Q00000X MD2012-0047 NM Primary

Addresses

Primary practice location

1401 10TH St
Suite a
Alamogordo, NM 88310-5012

Mailing address

250 1St St
Alamogordo, NM 88310-6517
Phone (575) 434-5195

Other identifiers 2

IdentifierTypeStateIssuer
79805361MedicaidNM
200046270AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20140828000907 NM Practitioner - Family Practice 1951350669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Otero County Hospital Association 245 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

Hospital & facility affiliations

  • Alamogordo Home Health Care & Hospice, Inc Home health agency, Alamogordo, NM, CCN 327015
  • Ambercare Home Health Home health agency, Las Cruces, NM, CCN 327133
  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23586OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince Aug 18, 2014 Accepting new patients
Otero County Hospital Association CurrentSince Aug 18, 2014 Accepting new patients
PHC Las Cruces Inc CurrentSince Aug 15, 2018 Accepting new patients
PHC-Las Cruces Inc Family Medicine CurrentSince Aug 15, 2018 Accepting new patients
Otero County Medical Group PastSince Nov 17, 2019 Accepting new patients
Mayes County Hma, LLC Past Accepting new patients

Locations

2351 25th St
Alamogordo, NM 88310
Phone (575) 434-2887

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

250 1st St
Alamogordo, NM 88310
Phone (575) 446-5801

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

Interoperability endpoints

  • Direct secure messaging: leandrita.ortega.1@6965.direct.athenahealth.com
  • Direct secure messaging: leandrita.ortega.1@19849.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1104897248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 1ST ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106517",
            "telephone_number": "575-434-5195",
            "fax_number": "575-434-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 10TH ST",
            "address_2": "SUITE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105012",
            "telephone_number": "575-434-5195",
            "fax_number": "575-434-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "LEANDRITA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23586",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2012-0047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79805361",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200046270A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.