Active NPI
Karen A Ortiz, MD
- Pediatrics Physician
- Eugene, OR
National Provider Identifier
1225006091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD2005-807
- Practice address
- 995 Willagillespie Rd Ste 100a
Eugene, OR 97401-2251 - Phone
- (541) 484-5437
- Fax
- (541) 343-7360
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD2005-807 | NM | Primary |
Addresses
Primary practice location
995 Willagillespie Rd Ste 100a
Eugene, OR 97401-2251
Mailing address
3461 Summit Sky Blvd
Eugene, OR 97405-6278
Phone (541) 484-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68270372 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2005-807 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Oregon Pediatric Associates Subspecialty | Pediatrics | Past | Accepting new patients |
| Department of Pediatrics University of Utah | Pediatrics | Past | Accepting new patients |
| Central Oregon Pediatric Associates | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- kortiz1390493@direct.lhs.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Bend, OR
- NPI 1457337834
-
- Pediatrics Physician
- Bend, OR
- NPI 1053153452
-
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1679528715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1225006091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3461 SUMMIT SKY BLVD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974056278",
"telephone_number": "541-484-5437",
"fax_number": "541-343-7360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 WILLAGILLESPIE RD STE 100A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012251",
"telephone_number": "541-484-5437",
"fax_number": "541-343-7360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "KAREN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "MD2005-807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68270372",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.