Individual provider Active NPI

Robert Ortega, MD

  • Diagnostic Radiology Physician
  • McHenry, IL
National Provider Identifier
1730178781
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036104576 Issued in IL
Practice address
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone
(815) 334-5566
Fax
(815) 759-4008
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 30223 AZ
Diagnostic Radiology Physician 2085R0202X 036104576 IL Primary

Addresses

Primary practice location

4201 W Medical Center Dr
McHenry, IL 60050-8409

Mailing address

6830 E Ironwood Dr
Paradise Valley, AZ 85253-2655
Phone (480) 443-9391

Other practice location 1

6830 E Ironwood Dr
Paradise Valley, AZ 85253-2655
Phone (480) 443-9391

Other identifiers 2

IdentifierTypeStateIssuer
271083OtherAZVRL
698516OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MI, NH, WV, UT, KY, IL7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20040513001243 AZ Practitioner - Diagnostic Radiology 4284624040 Reassigns benefits to 5 organizations
I20181220000432 MI Practitioner - Diagnostic Radiology 4284624040 Reassigns benefits to 2 organizations
I20200623001798 NH Practitioner - Diagnostic Radiology 4284624040
I20200806001687 WV Practitioner - Radiation Oncology 4284624040 Reassigns benefits to 2 organizations
I20220420002558 UT Practitioner - Diagnostic Radiology 4284624040 Reassigns benefits to 1 organization
I20230425001349 KY Practitioner - Diagnostic Radiology 4284624040 Reassigns benefits to 1 organization
I20231114002354 IL Practitioner - Diagnostic Radiology 4284624040

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Radiologists IncGroup PAC ID 0840241907, 25 clinicians
The Bellevue HospitalGroup PAC ID 6800863952, 10 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Uintah Basin Medical CenterGroup PAC ID 0244131944, 62 clinicians
Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians
Great Lakes Radiology ServicesGroup PAC ID 7113456831, 32 clinicians

Practice addresses (Care Compare)

Scottsdale, AZ 85253
Phone (740) 348-5545

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

210 W 300
Roosevelt, UT 84066-2336

250 W 300
75 2
Roosevelt, UT 84066-2336
Phone (435) 722-4691

454 McDowell St
Welch, WV 24801-2029
Phone (304) 436-8685

6830 E Ironwood Dr
Paradise Valley, AZ 85253-2655
Phone (810) 985-1500

729 W Ann Arbor TRL
Suite 2
Plymouth, MI 48170-6225
Phone (800) 475-6112

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
  • Uintah Basin Medical Center Hospital, Roosevelt, UT, CCN 460019
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218
  • Welch Community Hospital Hospital, Welch, WV, CCN 510086

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30223AZMDDiagnostic Radiology Physician
036104576ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Texas Imaging LLP Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Uintah Basin Medical Center CurrentSince Jan 15, 2022 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Tri-County Radiologists, Inc. Diagnostic Radiology CurrentSince Feb 2, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jul 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
The Bellevue Hospital CurrentSince Mar 23, 2025 Accepting new patients
Appalachian Mountains Medical, LLC Diagnostic Radiology CurrentSince May 15, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jul 1, 2020 Accepting new patients
Uintah Basin Medical Center CurrentSince Jan 15, 2022 Accepting new patients
FSH Radiology Inc Diagnostic Radiology Past Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology PastSince Apr 20, 2021 Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients
Richland Memorial Hospital, Inc Past Accepting new patients
Sheridan Community Hospital Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

729 W Ann Arbor Trl
Ste 2
Plymouth, MI 48170
Phone (734) 673-3764

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

223 Dry Hill Rd
Beckley, WV 25801

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1730178781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 E IRONWOOD DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852532655",
            "telephone_number": "480-443-9391",
            "fax_number": "480-443-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6830 E Ironwood Dr",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "852532655",
            "country_code": "US",
            "telephone_number": "480-443-9391",
            "fax_number": "480-443-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "30223",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036104576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VRL",
            "identifier": "271083",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "698516",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.