Individual provider Active NPI

Raul Enrique Ortega, M.D.

  • Vascular Surgery Physician
  • Denton, TX
National Provider Identifier
1295902385
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
N7567 Issued in TX
Practice address
2505 Scripture St Ste 100
Denton, TX 76201-2376
Phone
(940) 323-3655
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA08064900 NJ
Surgery Physician 208600000X N7567 TX
Vascular Surgery Physician 2086S0129X 25MA08064900 NJ
Vascular Surgery Physician 2086S0129X A104216 CA
Vascular Surgery Physician 2086S0129X N7567 TX Primary

Addresses

Primary practice location

2505 Scripture St Ste 100
Denton, TX 76201-2376

Mailing address

2505 Scripture St Ste 100
Denton, TX 76201-2376
Phone (940) 323-3655

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000849 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 9335208438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

3000 N Interstate 35
Denton, TX 76201-5119
Phone (940) 898-7000

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068

Merit-based Incentive Payment System (MIPS)

Final score
87.55 of 100Reported as individual
Quality
59.26
Promoting interoperability
100
Improvement activities
40
Cost
83.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08064900NJMDSurgery Physician
N7567TXMDSurgery Physician
A104216CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Dec 1, 2016 Accepting new patients
Texas Health Physicians Group Surgery CurrentSince Dec 1, 2016 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
California Kidney Medical Group Inc Past Accepting new patients
California Kidney Medical Group Inc Vascular Surgery Past Accepting new patients
Reseda Prosthetics, Inc. PastSince Mar 13, 2022 Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

2900 N Interstate 35
Ste 302
Denton, TX 76201
Phone (940) 565-9118

2505 Scripture St
Ste 100
Denton, TX 76201
Phone (940) 320-2188

Interoperability endpoints

  • Direct secure messaging: rortega104427@direct.texashealth.org
  • Direct secure messaging: dmcrorteg@yourcarecommunity.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1295902385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SCRIPTURE ST STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012376",
            "telephone_number": "940-323-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SCRIPTURE ST STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012376",
            "telephone_number": "940-323-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "RAUL",
        "middle_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08064900",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N7567",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA08064900",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A104216",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "N7567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.