Active NPI
Conrado J Ordonez MD PA
- Internal Medicine Physician
- Rosenberg, TX
National Provider Identifier
1316053754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CONRADO J ORDONEZ MD PA
- Practice address
- 5633 Avenue I
Rosenberg, TX 77471-6191 - Phone
- (281) 238-0443
- Fax
- (281) 238-0899
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Conrado Javier Ordonez, MD
- Title
- President
- Phone
- (281) 238-0443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5633 Avenue I
Rosenberg, TX 77471-6191
Mailing address
5633 Avenue I
Rosenberg, TX 77471-6191
Phone (281) 238-0443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130913005 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0960075 | Conrado J Ordonez MD | Certificate of waiver | Apr 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
5633 Avenue I
Ste A
Rosenberg, TX 77471
Phone (832) 788-5092
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Rosenberg, TX
- NPI 1124225453
-
- Registered Dietitian
- Salt Lake City, UT
- NPI 1932415577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248825600000",
"number": "1316053754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5633 AVENUE I",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774716191",
"telephone_number": "281-238-0443",
"fax_number": "281-238-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5633 AVENUE I",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774716191",
"telephone_number": "281-238-0443",
"fax_number": "281-238-0899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONRADO J ORDONEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2009-07-29",
"status": "A",
"authorized_official_last_name": "ORDONEZ",
"authorized_official_first_name": "CONRADO",
"authorized_official_middle_name": "JAVIER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-238-0443",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130913005",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.