Individual provider Active NPI

Charles E Ortega, PAC, MPAS

  • Physician Assistant
  • Addison, TX
National Provider Identifier
1285844837
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02353 Issued in TX
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

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P19402OtherTXMEDICAL LICENSE
PA02353OtherTXLICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110627000322 TX Practitioner - Physician Assistant 8123206927 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
North Dallas Medical Group PLLCGroup PAC ID 0749705762, 2 clinicians

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

LicenseStateTypeSpecialty
PA02353TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ceo Telemed CurrentSince Sep 10, 2025 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.

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

Verify at the official NPI Registry.