Individual provider Active NPI

Jesus Ortega, M.D,

  • Hematology & Oncology Physician
  • Allen Park, MI
National Provider Identifier
1457331704
Registry record updated Nov 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
JO4301031455 Issued in MI
Practice address
6760 Allen Rd
Suite 106
Allen Park, MI 48101-2078
Phone
(313) 381-5522
Fax
(313) 381-2666
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2007

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 JO4301031455 MI Primary

Addresses

Primary practice location

6760 Allen Rd
Suite 106
Allen Park, MI 48101-2078

Mailing address

6760 Allen Rd
Suite 106
Allen Park, MI 48101-2078
Phone (313) 381-5522

Other identifiers 6

IdentifierTypeStateIssuer
1457331704OtherMIMEDICARE INDIVIDUAL NPI
110822641-1OtherMIBCBS OF MICHIGAN
1130860001OtherMIWELLNESS PLAN
0822641OtherMIBLUE CARE NETWORK
P00124985OtherMIRAILROAD MEDICARE
S19233OtherMIOAKWOOD MANAGED CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JO4301031455MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Hutzel Hospital Past Accepting new patients
University Physician Group Past Accepting new patients
Jesus Ortega, M.D., P.L.L.C. Hematology & Oncology PastSince Aug 1, 1999 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195257600000",
    "number": "1457331704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 ALLEN RD",
            "address_2": "SUITE 106",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012078",
            "telephone_number": "313-381-5522",
            "fax_number": "313-381-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 ALLEN RD",
            "address_2": "SUITE 106",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012078",
            "telephone_number": "313-381-5522",
            "fax_number": "313-381-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "JO4301031455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NPI",
            "identifier": "1457331704",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "110822641-1",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS PLAN",
            "identifier": "1130860001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0822641",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00124985",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OAKWOOD MANAGED CARE",
            "identifier": "S19233",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.