Individual provider Active NPI

Tulio R. Ortega, MD

  • Psychiatry Physician
  • Rochester, NY
National Provider Identifier
1114013364
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
185212 Issued in NY
Practice address
1597 W. Ridge Rd.
Suite 302
Rochester, NY 14615
Phone
(585) 730-6115
Fax
(585) 730-6112
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 185212 NY Primary

Addresses

Primary practice location

1597 W. Ridge Rd.
Suite 302
Rochester, NY 14615

Mailing address

1597 W. Ridge Rd.
Suite 302
Rochester, NY 14615
Phone (585) 730-6115

Other identifiers 4

IdentifierTypeStateIssuer
P010185212OtherEXCELLUS
MDA096OtherPREFERRED CARE
3161OtherBLUE SHIELD
01505884MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070710000779 NY Practitioner - Psychiatry 2860592532 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14014 Route 31 W
Albion, NY 14411-9301

14014 State Route 31
Albion, NY 14411-9301
Phone (585) 589-3292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185212NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans County Department of Mental Health CurrentSince Mar 1, 2001 Accepting new patients
Orleans County Treasurer Office CurrentSince Mar 1, 2001 Accepting new patients

Locations

14014 State Route 31
Albion, NY 14411
Phone (585) 589-3292

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1114013364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 W. RIDGE RD.",
            "address_2": "SUITE 302",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14615",
            "telephone_number": "585-730-6115",
            "fax_number": "585-730-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 W. RIDGE RD.",
            "address_2": "SUITE 302",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14615",
            "telephone_number": "585-730-6115",
            "fax_number": "585-730-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "TULIO",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "185212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P010185212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDA096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "3161",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01505884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.