Individual provider Active NPI

Gezzer Ortega, M.D., M.P.H.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1477808343
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0078891 Issued in MD
Practice address
2041 Georgia Ave NW
Howard University Hospital
Washington, DC 20060-0001
Phone
(202) 865-1446
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0078891 MD Primary

Addresses

Primary practice location

2041 Georgia Ave NW
Howard University Hospital
Washington, DC 20060-0001

Mailing address

11506 Bucknell Dr
#204
Wheaton, MD 20902-2836
Phone (646) 594-3942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150818003078 MD Practitioner - General Surgery 9830404029 Reassigns benefits to 1 organization
I20180226000405 DC Practitioner - Internal Medicine 9830404029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Docdx Com IncGroup PAC ID 4486020054, 2 clinicians

Practice addresses (Care Compare)

11119 Rockville Pike
Suite 207
Rockville, MD 20852-3143
Phone (301) 951-3606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0078891MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospital Center, Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Northwest Hospital Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Docdx Com Inc Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Howard University Hospital Past Accepting new patients

Locations

4938 Hampden Ln
Bethesda, MD 20814
Phone (202) 753-9859

4927 Auburn Ave
Ste 200
Bethesda, MD 20814
Phone (301) 896-6069

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

11119 Rockville Pike
Ste 207
Rockville, MD 20852
Phone (301) 231-4904

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15165/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gezzer.ortega.1@15165.direct.athenahealth.com
  • Direct secure messaging: gezzer.ortega.4@15165.direct.athenahealth.com

Organizations & group practices 4

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1477808343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11506 BUCKNELL DR",
            "address_2": "#204",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022836",
            "telephone_number": "646-594-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "address_2": "HOWARD UNIVERSITY HOSPITAL",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "GEZZER",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0078891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.