Active NPI
Louis Ortenzio Jr., MD
- Family Medicine Physician
- Blacksville, WV
National Provider Identifier
1790741411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12327
- Practice address
- 5861 Mason Dixon Highway
Box 72
Blacksville, WV 26521 - Phone
- (304) 432-8211
- Fax
- (304) 432-8213
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- Federally Qualified Health Center (FQHC)
- Burton, WV
- NPI 1437214509
NPD (past) FAMILY MEDICINE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay-Battelle Health Services Association | Family Medicine | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12327 | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5861 Mason Dixon Highway
Box 72
Blacksville, WV 26521
Mailing address
5861 Mason Dixon Highway
Box 72
Blacksville, WV 26521
Phone (304) 432-8211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790741411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5861 MASON DIXON HIGHWAY",
"address_2": "BOX 72",
"city": "BLACKSVILLE",
"state": "WV",
"postal_code": "26521",
"telephone_number": "304-432-8211",
"fax_number": "304-432-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5861 MASON DIXON HIGHWAY",
"address_2": "BOX 72",
"city": "BLACKSVILLE",
"state": "WV",
"postal_code": "26521",
"telephone_number": "304-432-8211",
"fax_number": "304-432-8213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTENZIO",
"first_name": "LOUIS",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "12327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.