Individual provider Active NPI

Alba Juanita Ortega, M.D.

  • Pediatrics Physician
  • Lorain, OH
National Provider Identifier
1255308060
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.076317 Issued in OH
Practice address
3600 Kolbe Rd
Ste 209
Lorain, OH 44053-1654
Phone
(440) 960-6500
Fax
(440) 960-6515
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 35.076317 OH Primary

Addresses

Primary practice location

3600 Kolbe Rd
Ste 209
Lorain, OH 44053-1654

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (440) 960-6500

Other identifiers 2

IdentifierTypeStateIssuer
2134363MedicaidOH
3025372MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL aortegaclose107507@direct.chmca.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040922000332 OH Practitioner - Pediatric Medicine 6608844147 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.076317OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Children'S Hospital Current Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Nov 18, 2020 Accepting new patients
Children'S Hospital Medical Center of Akron Pediatrics CurrentSince Nov 18, 2020 Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Mercy Health-Regional Medical Center LLC Past Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

47185 Cooper Foster Park Rd
Amherst, OH 44001
Phone (440) 960-3954

3600 Kolbe Rd
Ste 209
Lorain, OH 44053
Phone (440) 222-4140

Interoperability endpoints

  • Direct secure messaging: aortegaclose107507@direct.chmca.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1255308060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "440-960-6500",
            "fax_number": "440-960-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD",
            "address_2": "STE 209",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531654",
            "telephone_number": "440-960-6500",
            "fax_number": "440-960-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "ALBA",
        "middle_name": "JUANITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.076317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2134363",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025372",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "aortegaclose107507@direct.chmca.org",
            "affiliation": "N",
            "address_1": "3600 Kolbe Rd",
            "address_2": "Ste 209",
            "city": "Lorain",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440531654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.