NPIMap

Individual provider Active NPI

Olga I Duchicela, M.D.

  • Family Medicine Physician
  • Weimar, TX
National Provider Identifier
1295721140
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9773 Issued in TX
Practice address
402 Youens Dr
Weimar, TX 78962-3680
Phone
(979) 725-8545
Fax
(979) 725-8287
NPI assigned
Sep 26, 2005
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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 K9773 TX Primary

Addresses

Primary practice location

402 Youens Dr
Weimar, TX 78962-3680

Mailing address

402 Youens Dr
Weimar, TX 78962-3680
Phone (979) 725-8545

Other identifiers 1

IdentifierTypeStateIssuer
092508304MedicaidTX

Other names 1

  • Olga Ortega Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000897 TX Practitioner - Family Practice 5890846943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Youens, Duchicela and Associates, P.a.Group PAC ID 0042361511, 6 clinicians
Duchicela and Associates PAGroup PAC ID 3971933573, 5 clinicians

Practice addresses (Care Compare)

402 Youens Dr
Weimar, TX 78962-3680
Phone (979) 725-8545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.47 of 100Reported as group
Quality
84.99
Promoting interoperability
100
Improvement activities
40
Cost
76.58

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9773TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duchicela & Associates PA Family Medicine CurrentSince Nov 26, 2019 Accepting new patients
Youens, Duchicela & Associates, P.a. Family Medicine CurrentSince Sep 30, 2002 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

402 Youens Dr
Weimar, TX 78962
Phone (979) 725-8545

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1295721140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 YOUENS DR",
            "city": "WEIMAR",
            "state": "TX",
            "postal_code": "789623680",
            "telephone_number": "979-725-8545",
            "fax_number": "979-725-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 YOUENS DR",
            "city": "WEIMAR",
            "state": "TX",
            "postal_code": "789623680",
            "telephone_number": "979-725-8545",
            "fax_number": "979-725-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHICELA",
        "first_name": "OLGA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092508304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLGA",
            "last_name": "ORTEGA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weimar, TX

Sources for this page

Verify at the official NPI Registry.