Individual provider Active NPI

Jose Agustin Ortega III, M.D.

  • Hematology & Oncology Physician
  • Lake Worth, FL
National Provider Identifier
1376742833
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME 100365 Issued in FL
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

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000065900MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080815000583 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4880769488 Reassigns benefits to 1 organization

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
Hematology Oncology Associates of the Palm BeachesGroup PAC ID 1355326364, 10 clinicians

Practice addresses (Care Compare)

3450 Lantana Rd
Suite 100
Lake Worth, FL 33462-1304
Phone (561) 965-1864

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 100365FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Associates of the Palm Beaches Hematology & Oncology Current Accepting new patients
Hematology Oncology Associates of the Palm Beaches Hematology & Oncology CurrentSince Jul 1, 2011 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.