Enrique Caleb Medina Ortiz, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

V0047 Issued in TX

Practice address

129 Vision Park Blvd Ste 211a
Shenandoah, TX 77384-3024

Phone

(936) 273-3900

Fax

(936) 273-3901

NPI assigned

Aug 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

RheumatologyAlso: Internal Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woodlands Arthritis Clinic, PAGroup PAC ID 1052567591, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.9 of 100Reported as group

Quality

90

Promoting interoperability

100

Improvement activities

40

Cost

63

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Woodlands Arthritis Clinic PA

  • Medical Specialty Clinic/Center
  • Shenandoah, TX
  • NPI 1780944371
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1285159160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD STE 211A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843024",
            "telephone_number": "936-273-3900",
            "fax_number": "936-273-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD STE 211A",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843024",
            "telephone_number": "936-273-3900",
            "fax_number": "936-273-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA ORTIZ",
        "first_name": "ENRIQUE",
        "middle_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-11",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "V0047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara McDonald
• Laura Jeannne McMullen, P.T.A
• Erica McNally
• Daniel Edward McNavish
• David McQuivey, PA-C
• Roberto De Jesus Medina, MD
• Leyla Mehdinasab, M.D.
• Memorial Hermann Health System (Mhhs Woodlands Outpatient Imaging Center RR)
• Memorial Hermann Health System (Memorial Hermann Pharmacy-The Woodlands)
• Memorial Hermann Medical Group (Integrated Hospital Medicine)

• Rheumatology Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.