Individual provider Active NPI

Terryl Jean Ortego, M.D.

  • Gastroenterology Physician
  • Lowell, AR
National Provider Identifier
1720021702
Registry record updated Sep 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R-3334 Issued in AR
Practice address
116 W Monroe Ave
Lowell, AR 72745-9682
Phone
(479) 770-8090
Fax
(479) 770-8062
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X R-3334 AR Primary

Addresses

Primary practice location

116 W Monroe Ave
Lowell, AR 72745-9682

Mailing address

116 W Monroe Ave
Lowell, AR 72745-9682
Phone (479) 770-8090

Other identifiers 1

IdentifierTypeStateIssuer
105379001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000195 AR Practitioner - Gastroenterology 3173517034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Louisiana State University School of Medicine in New Orleans, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, 314 clinicians

Practice addresses (Care Compare)

2708 S Rife Medical LN
Suite 300
Rogers, AR 72758-1457
Phone (479) 338-3030

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 636-0200

3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100

Hospital & facility affiliations

  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy187
Upper gastrointestinal (GI) endoscopy for acid reflux177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-3334ARMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Arkansas Gastroenterology Clinic PA CurrentSince Oct 1, 1988 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 4, 2012 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 4, 2012 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

116 W Monroe Ave
Lowell, AR 72745
Phone (479) 770-8090

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2708 S Rife Medical Ln
Ste 300
Rogers, AR 72758
Phone (479) 338-3030

601 W Maple Ave
Ste 507
Springdale, AR 72764
Phone (479) 750-5800

Interoperability endpoints

  • Direct secure messaging: tortego20381@directc.mercy.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346630400000",
    "number": "1720021702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W MONROE AVE",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459682",
            "telephone_number": "479-770-8090",
            "fax_number": "479-770-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W MONROE AVE",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459682",
            "telephone_number": "479-770-8090",
            "fax_number": "479-770-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGO",
        "first_name": "TERRYL",
        "middle_name": "JEAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "R-3334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105379001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, AR

Sources for this page

Verify at the official NPI Registry.