Active NPI
Robert Ortega, MD
- Diagnostic Radiology Physician
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036104576
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271083 | Other | AZ | VRL |
| 698516 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, MI, NH, WV, UT, KY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
- Bellevue Hospital
- Uintah Basin Medical Center
- Licking Memorial Hospital
- Welch Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30223 | AZ | MD | Diagnostic Radiology Physician |
| 036104576 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Texas Imaging LLP | Diagnostic Radiology | Current | Accepting new patients |
| Uintah Basin Medical Center | Current | Accepting new patients | |
| Great Lakes Radiology Services | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Tri-County Radiologists, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| The Bellevue Hospital | Current | Accepting new patients | |
| Appalachian Mountains Medical, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| Uintah Basin Medical Center | Current | Accepting new patients | |
| FSH Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| Southwest Diagnostic Imaging LLC | Diagnostic Radiology | Past | 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.
-
- Emergency Medicine Physician
- Welch, WV
- NPI 1881023117
Diagnostic Radiology
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- General Acute Care Hospital
- Roosevelt, UT
- NPI 1871556217
-
- Urology Physician
- Princeton, WV
- NPI 1093917643
-
- Emergency Medicine Physician
- Sheridan, MI
- NPI 1528090594
-
- Internal Medicine Physician
- Frankfort, KY
- NPI 1629740774
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
-
- General Acute Care Hospital
- Welch, WV
- NPI 1134158900
-
- General Acute Care Hospital
- Bellevue, OH
- NPI 1134161623
-
- General Acute Care Hospital
- Roosevelt, UT
- NPI 1871556217
-
- General Acute Care Hospital
- Vernal, UT
- NPI 1881447571
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.