Individual provider Active NPI

Yosel Santiesteban Ortiz

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1609491059
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1075233 Issued in TX
Practice address
501 S Mason Rd Ste 545 B
Katy, TX 77450
Phone
(540) 855-0828
NPI assigned
Jun 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 988407 TX
Family Nurse Practitioner 363LF0000X 1075233 TX Primary

Addresses

Primary practice location

501 S Mason Rd Ste 545 B
Katy, TX 77450

Mailing address

2326 Manchester Crossing Drive
Fresno, TX 77545
Phone (540) 855-0829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614000950 TX Practitioner - Nurse Practitioner 8022497569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calixto J Ruibal MD PAGroup PAC ID 6608834965, 5 clinicians

Practice addresses (Care Compare)

7109 Lawndale St
Suite B
Houston, TX 77023-4248
Phone (713) 924-4907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
988407TXMDRegistered Nurse
1075233TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calixto J Ruibal MD PA CurrentSince May 1, 2022 Accepting new patients

Locations

7109 Lawndale St
#B
Houston, TX 77023
Phone (713) 924-4907

7109B Lawndale St
Houston, TX 77023
Phone (713) 924-4194

Interoperability endpoints

  • Direct secure messaging: ingrid23882@tms-tx.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1609491059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 MANCHESTER CROSSING DRIVE",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "77545",
            "telephone_number": "540-855-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S MASON RD STE 545 B",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "540-855-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIESTEBAN ORTIZ",
        "first_name": "YOSEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "988407",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1075233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.