Marta E. Ortegon, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10000728 Issued in IN

Practice address

8111 S Emerson Ave
Indianapolis, IN 46237-8601

Phone

(317) 528-5261

Fax

(317) 528-5026

NPI assigned

Feb 12, 2007

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marta Shannon Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Merit-based Incentive Payment System (MIPS)

Final score

93.82 of 100Reported as group

Quality

91.66

Improvement activities

40

Cost

78.17

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Emergency Physicians of Indianapolis, PC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1770538340
  Medicare reassignment
• Erickson Health Medical Group of New Jersey PC

  • Internal Medicine Physician
  • Pompton Plains, NJ
  • NPI 1992725832
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1720129562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7112",
            "address_2": "DEPT 31",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462077112",
            "telephone_number": "317-802-3151",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378601",
            "telephone_number": "317-528-5261",
            "fax_number": "317-528-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGON",
        "first_name": "MARTA",
        "middle_name": "E.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000728A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mortegon7628@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8111 S Emerson Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462378601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "SHANNON",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael G. Orr, M.D.
• Zoe G Orrell
• Jaime L. Orrick, DDS
• Myriam Ortega Caceres, FNP-C
• Elisa Malenny Ortega-Garcia, RBT
• Orthodontic Experts of Indiana, LLC
• Orthodontic Experts of Indiana, LLC
• Orthopaedic Spine Center PC
• Orthopaedic Supplies Incorporated
• Orthopaedics-Indianapolis, Inc (Orthoindy-Northwest)

• Medical Physician Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Medical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.