Individual provider Active NPI

Karen A Ortiz, MD

  • Pediatrics Physician
  • Eugene, OR
National Provider Identifier
1225006091
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD2005-807 Issued in NM
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

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
68270372MedicaidNM

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

LicenseStateTypeSpecialty
MD2005-807NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.