Individual provider Active NPI

Louis Ortenzio Jr., MD

  • Family Medicine Physician
  • Blacksville, WV
National Provider Identifier
1790741411
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12327 Issued in WV
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.

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clay-Battelle Health Services Association Family Medicine Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12327 WV Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.