Active NPI
Jose Agustin Ortega III, M.D.
- Hematology & Oncology Physician
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME 100365
- Practice address
- 3450 Lantana Rd
Ste100
Lake Worth, FL 33462-1304 - Phone
- (561) 965-1864
- Fax
- (561) 967-5005
- NPI assigned
- Jul 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | ME 100365 | FL | Primary |
Addresses
Primary practice location
3450 Lantana Rd
Ste100
Lake Worth, FL 33462-1304
Mailing address
3450 Lantana Rd
Ste100
Lake Worth, FL 33462-1304
Phone (561) 965-1864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000065900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Miami, LM Miller School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3450 Lantana Rd
Suite 100
Lake Worth, FL 33462-1304
Phone (561) 965-1864
Hospital & facility affiliations
- Bethesda Hospital East
- HCA Florida JFK Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 100365 | FL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hematology Oncology Associates of the Palm Beaches | Hematology & Oncology | Current | Accepting new patients |
| Hematology Oncology Associates of the Palm Beaches | Hematology & Oncology | Current | Accepting new patients |
| Hematology Oncology Associates of the Palm Beaches | Hematology & Oncology | Past | Accepting new patients |
Locations
2300 S Congress Ave
Ste 103
Boynton Beach, FL 33426
Phone (561) 732-2440
3450 Lantana Rd
Ste 100
Lake Worth, FL 33462
Phone (561) 965-1864
12993 Southern Blvd
Ste B
Loxahatchee, FL 33470
Phone (561) 784-3700
4685 S Congress Ave
Ste 200
Palm Springs, FL 33461
Phone (561) 965-1864
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jortega@hoapb.direct.varian.com
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Loxahatchee, FL
- NPI 1710160254
-
- Hematology & Oncology Physician
- Boynton Beach, FL
- NPI 1154452035
-
- Hematology & Oncology Physician
- Lake Worth, FL
- NPI 1962434969
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
-
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1376742833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 LANTANA RD",
"address_2": "STE100",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334621304",
"telephone_number": "561-965-1864",
"fax_number": "561-967-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 LANTANA RD",
"address_2": "STE100",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334621304",
"telephone_number": "561-965-1864",
"fax_number": "561-967-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "JOSE",
"middle_name": "AGUSTIN",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-15",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "ME 100365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000065900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.