Omar Antonio Andino-Ortega, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

75506 Issued in AZ

Practice address

1142 E Southern Ave Ste C101
Mesa, AZ 85204-5055

Phone

(480) 821-3600

NPI assigned

Mar 24, 2021

Last updated

Sep 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Obstetrics/Gynecology

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Momdoc LLCGroup PAC ID 3375534282, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Momdoc, LLC

  dba MomDoc Mi Doctora

  • Obstetrics & Gynecology Physician
  • Chandler, AZ
  • NPI 1184780355
  Medicare reassignment Care Compare group NPD
• Banner Gateway Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1699884858
  NPD (past)
• Healthy Pregnancy Perinatology, LLC

  • Maternal & Fetal Medicine Physician
  • Gilbert, AZ
  • NPI 1467725812
  NPD (past)
• Mi Doctora

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
  • NPI 1851707293
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1366028748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 E RAY RD APT 553",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961691",
            "telephone_number": "787-466-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 E SOUTHERN AVE STE C101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045055",
            "telephone_number": "480-821-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDINO-ORTEGA",
        "first_name": "OMAR",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "75506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Anderson
• Sandra Sue Anderson, MED. L.P.C.
• Weston Taylor Anderson
• Andersons Nutrition
• Robert Anderton, MD
• Josseline Andrade Carrillo
• Andre C Matthews (Baywood Orthopedic Clinic)
• Christian Andreen, PA-C
• Andrew T Weir, DDS, PC
• Amber Marie Andrews, LAC

• Obstetrics & Gynecology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.