Renato Marquez Oracion, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

L4085 Issued in TX

Practice address

808 Tower Dr
Suite 3
Odessa, TX 79761-4239

Phone

(432) 582-0370

NPI assigned

Jan 3, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Matthew Dermatology Clinic, P.a.

  • Dermatology Physician
  • Odessa, TX
  • NPI 1457532442
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154309052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 TOWER DR",
            "address_2": "SUITE 3",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 TOWER DR",
            "address_2": "SUITE 3",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614239",
            "telephone_number": "432-582-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORACION",
        "first_name": "RENATO",
        "middle_name": "MARQUEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L4085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00125824",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8K0940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oncology Pharmacy Services, Inc (Texas Oncology Pharmacy Odessa)
• Oneopto TX 4 PLLC (Odessa Vision Center)
• Oneopto TX 5 PLLC (Vision Centers of Houston)
• Amoge Chinenye Opara, MD
• Optimus Physical Therapy and Orthosport Specialists PLLC
• Daniela Ornelas
• Janette Garcia Ornelas, FNP-C
• Kimberly R Ortega, M.S., CCC-SLP
• Martin Ortega, MD
• Scotty Ramiro Ortega, M.D.

• Dermatology Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.