Teodoro K Ortega, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME22905 Issued in FL

Practice address

5080 Bayou Blvd
Pensacola, FL 32503-2522

Phone

(850) 477-4074

Fax

(850) 476-9234

NPI assigned

Jan 5, 2006

Last updated

Aug 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teodoro K. Ortega, M.D., P.a.

  • Plastic Surgery Physician
  • Pensacola, FL
  • NPI 1285612721
  Authorized official Same address or phone

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1518945062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032522",
            "telephone_number": "850-477-4074",
            "fax_number": "850-476-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032522",
            "telephone_number": "850-477-4074",
            "fax_number": "850-476-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "TEODORO",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME22905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ME 22905",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FL ID NUMBER",
            "identifier": "17313",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AL ID NUMBER",
            "identifier": "590-02294",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Kathryn Orgeron, L.M.H.C.
• Cady Nicole Ormsbee
• Nancy Ann Orr, CRNA
• Zachary Michael Orr, PA-C
• Marcos R Ortega, M.D.
• Angel Orth
• Ashley Hill Orth, D.D.S.
• Ruth Wilkins Orth, M.D.
• Ortho Florida, LLC (Florida Bone and Joint Specialist)
• Ortho Florida, LLC (Comprehensive Orthopaedics of the Gulf Coast)

• Plastic Surgery Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.