Individual provider Active NPI

Sidney Charles Ontai, M.D.

  • Family Medicine Physician
  • Victoria, TX
National Provider Identifier
1225240443
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7364 Issued in TX
Practice address
501 E Colorado St
Victoria, TX 77901-6025
Phone
(361) 579-8300
Fax
(806) 579-8303
NPI assigned
May 3, 2007
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7364 TX Primary

Addresses

Primary practice location

501 E Colorado St
Victoria, TX 77901-6025

Mailing address

501 E Colorado St
Victoria, TX 77901-6025
Phone (361) 579-8300

Other identifiers 3

IdentifierTypeStateIssuer
8G8750OtherTXBCBS TX
120737101OtherTXFIRSTCARE INSURANCE ID
018373301MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sydney.ontai.1@1902.direct.athenahealth.com

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
I20080129000661 TX Practitioner - General PracticePractitioner - Other (Physician)Practitioner - Family Practice 9436047131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7364TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plainview Foundation for Rural Health Advancement Family Medicine CurrentSince Oct 11, 2009 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Plainview Foundation for Rural Health Advancement Family Medicine CurrentSince Oct 11, 2009 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Gulf Bend Mental Health Mental Retardation Center CurrentSince Aug 25, 2014 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

501 E Colorado St
Victoria, TX 77901
Phone (361) 571-5283

6502 Nursery Dr
Ste 100
Victoria, TX 77904

Interoperability endpoints

  • Direct secure messaging: sidney.ontai@direct.myteamcare.com
  • Direct secure messaging: sydney.ontai.1@1902.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1225240443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E COLORADO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016025",
            "telephone_number": "361-579-8300",
            "fax_number": "361-579-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E COLORADO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016025",
            "telephone_number": "361-579-8300",
            "fax_number": "806-579-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONTAI",
        "first_name": "SIDNEY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8G8750",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE INSURANCE ID",
            "identifier": "120737101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018373301",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sydney.ontai.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "501 E Colorado St",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779016025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.