Organization Active NPI

Conrado J Ordonez MD PA

  • Internal Medicine Physician
  • Rosenberg, TX
National Provider Identifier
1316053754
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jul 29, 2009

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
130913005MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090515000408 TX Part B Supplier - Clinic/Group Practice 4880743194 Receives reassigned benefits from 2 practitioners
Practice locations: Richmond, TX; Rosenberg, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0960075Conrado J Ordonez MD5633 Avenue I, Rosenberg, TX 77471Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.