Individual provider Active NPI

Shayom Javinish Ortiz, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1184824609
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N3964 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X N3964 TX Primary

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 715-5000

Other practice location 1

6606 Lbj Freeway Ste200
Dallas, TX 75284-2617
Phone (972) 715-5000

Other practice location 2

5605 N MacArthur Blvd
Ste. 220
Irving, TX 75038-2617
Phone (972) 714-0007

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
I20110406000681 TX Practitioner - Anesthesiology 0840474490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (713) 496-7555

2727 E Lemmon Ave
Greater Houston Anesthesiology
Dallas, TX 75204-2833
Phone (214) 443-3042

3500 W Wheatland Rd
Greater Houston Anesthesiology
Dallas, TX 75237-3460
Phone (214) 947-7699

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7072

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3964TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Jan 31, 2020 Accepting new patients
Arcadia Anesthesia PA Anesthesiology CurrentSince Oct 29, 2016 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Jan 31, 2020 Accepting new patients
Optima Anesthesia PLLC Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients
Excel Anesthesia, PA Anesthesiology Past Accepting new patients

Locations

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

1612 Hurst Town Center Dr
Hurst, TX 76054
Phone (817) 345-4100

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

Interoperability endpoints

  • Direct secure messaging: sortiz@direct.uspi.com

Organizations & group practices 5

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 4

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1184824609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6606 Lbj Freeway Ste200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752842617",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5605 N MacArthur Blvd",
            "address_2": "Ste. 220",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382617",
            "country_code": "US",
            "telephone_number": "972-714-0007",
            "fax_number": "972-714-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "SHAYOM",
        "middle_name": "JAVINISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.