Individual provider Active NPI

Dennis L Ortiz, DO

  • Urology Physician
  • Colleyville, TX
National Provider Identifier
1740232149
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
H0705 Issued in TX
Practice address
4218 Gateway Dr
Suite 100
Colleyville, TX 76034
Phone
(817) 283-1860
Fax
(817) 283-2175
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X H0705 TX Primary

Addresses

Primary practice location

4218 Gateway Dr
Suite 100
Colleyville, TX 76034

Mailing address

4218 Gateway Dr
Suite 100
Colleyville, TX 76034
Phone (817) 283-1860

Other identifiers 5

IdentifierTypeStateIssuer
170333203MedicaidTX
340019907OtherRAIL ROAD MEDICARE
P00153491OtherRAIL ROAD MEDICARE
170333201MedicaidTX
170333202MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001073 TX Practitioner - Urology 5799674586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of North Texas HSC, College of Osteopathic Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4218 Gateway Dr
Suite 100
Colleyville, TX 76034-7900
Phone 8172831860217

Hospital & facility affiliations

  • Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as individual
Quality
82.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Urology PA Urology CurrentSince Oct 1, 1992 Accepting new patients

Locations

1305 Airport Fwy
Ste 42
Bedford, TX 76021

1305 Airport Fwy
Ste 425
Bedford, TX 76021
Phone (817) 283-1860

808 Woodrow Wilson Ray Cir
Bridgeport, TX 76426
Phone (940) 683-2297

1903 Doctors Hospital Dr
Ste 33
Bridgeport, TX 76426
Phone (817) 283-1860

4218 Gateway Dr
Ste 100
Colleyville, TX 76034
Phone (817) 283-1860

655 S Great Southwest Pkwy
Grand Prairie, TX 75051
Phone (817) 283-1860

Interoperability endpoints

  • Direct secure messaging: deortiz@direct.uspi.com
  • Direct secure messaging: dennisortiz@norcenuro.medalliesdirect.net

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 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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1740232149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 GATEWAY DR",
            "address_2": "SUITE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-283-1860",
            "fax_number": "817-283-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 GATEWAY DR",
            "address_2": "SUITE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-283-1860",
            "fax_number": "817-283-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "DENNIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H0705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170333203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "340019907",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00153491",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170333201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170333202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.