Ceo Telemed

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CEO TELEMED

Practice address

16901 Dallas Pkwy Ste 210
Addison, TX 75001-5208

Phone

(214) 233-3094

NPI assigned

Sep 9, 2025

Last updated

Sep 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Ortega, PAC, MPASNPI 1285844837

Title

Physician Associate

Phone

(214) 233-3094

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles E Ortega, PAC, MPAS

  • Physician Assistant
  • Addison, TX
  • NPI 1285844837
  Medicare reassignment NPD Authorized official
• Rowena Velasquez Calleja, P.T.

  • Physical Therapist
  • Addison, TX
  • NPI 1265325625
  Medicare reassignment NPD
• Nathan Vietnam Nguyen, M.D.

  • Family Medicine Physician
  • Cedar Hill, TX
  • NPI 1487971719
  NPD (past)

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1396626057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16901 DALLAS PKWY STE 210",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015208",
            "telephone_number": "214-233-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16901 DALLAS PKWY STE 210",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015208",
            "telephone_number": "214-233-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEO TELEMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN ASSOCIATE",
        "authorized_official_telephone_number": "214-233-3094",
        "authorized_official_credential": "PAC, MPAS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catheter Safety Product LLC
• Catheter Safety Product LLC
• Leticia L Cavazos, DSW, LCSW, LCDC
• Center for Biofeedback and Behavior Therapy
• Central Plano Interventional Pain Center LLC
• Kathleen Cerny, SLP
• Edda Wilson Chacha, RN
• Helen Chacon, PT, DPT
• Danny Yuen Chan, M.D.
• Hennessey Hiileionalani Ellis Chan, PT, DPT

• Family Medicine Physician in Addison, TX
• Providers in Addison, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.