Active NPI
Charles E Ortega, PAC, MPAS
- Physician Assistant
- Addison, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02353
- Practice address
- 16901 Dallas Pkwy Ste 206
Addison, TX 75001-5214 - Phone
- (214) 233-3094
- Fax
- (214) 241-1167
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | PA02353 | TX | Primary |
Addresses
Primary practice location
16901 Dallas Pkwy Ste 206
Addison, TX 75001-5214
Mailing address
16901 Dallas Pkwy Ste 206
Addison, TX 75001-5214
Phone (214) 233-3094
Other practice location 1
801 Road To Six Flags W Ste 146
Arlington, TX 76012-2600
Phone (817) 887-8182
Other practice location 2
16901 Dallas Pkwy Ste 210
Addison, TX 75001-5208
Phone (214) 980-9400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P19402 | Other | TX | MEDICAL LICENSE |
| PA02353 | Other | TX | LICENSE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16901 Dallas Pkwy
Suite 206
Addison, TX 75001-5214
Phone (214) 233-3094
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02353 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ceo Telemed | Current | Accepting new patients | |
| Ceo Telemed, LLC | Current | Accepting new patients | |
| 303 Medical Clinic, P.a. | Past | Accepting new patients | |
| Finneas Health | Past | Accepting new patients | |
| Michael Lynn Littlejohn | Past | Accepting new patients | |
| O'Connor Medical Center, P.a. | Past | Accepting new patients |
Locations
16901 Dallas Pkwy
Ste 210
Addison, TX 75001
Phone (214) 233-3094
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Addison, TX
- NPI 1396626057
-
- Family Medicine Physician
- Dallas, TX
- NPI 1952613465
-
- Multi-Specialty Clinic/Center
- Addison, TX
- NPI 1790005734
-
- Primary Care Clinic/Center
- Dallas, TX
- NPI 1326803321
-
- General Practice Physician
- Frisco, TX
- NPI 1275194417
-
- Family Medicine Physician
- Grand Prarie, TX
- NPI 1437270220
-
- Primary Care Clinic/Center
- Midlothian, TX
- NPI 1750689956
-
- Family Medicine Physician
- Irving, TX
- NPI 1174644496
-
- Occupational Therapist
- Ventura, CA
- NPI 1700264926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1285844837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16901 DALLAS PKWY STE 206",
"city": "ADDISON",
"state": "TX",
"postal_code": "750015214",
"telephone_number": "214-233-3094",
"fax_number": "214-241-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16901 DALLAS PKWY STE 206",
"city": "ADDISON",
"state": "TX",
"postal_code": "750015214",
"telephone_number": "214-233-3094",
"fax_number": "214-241-1167"
}
],
"practiceLocations": [
{
"address_1": "801 Road To Six Flags W Ste 146",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760122600",
"country_code": "US",
"telephone_number": "817-887-8182",
"fax_number": "817-524-6213",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16901 Dallas Pkwy Ste 210",
"address_purpose": "LOCATION",
"city": "Addison",
"state": "TX",
"postal_code": "750015208",
"country_code": "US",
"telephone_number": "214-980-9400",
"fax_number": "469-802-0070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTEGA",
"first_name": "CHARLES",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PAC, MPAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "P19402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA02353",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.