NPIMap

Individual provider Active NPI

Carlos Roberto Ortiz, M.D.

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1801152525
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q2695 Issued in TX
Practice address
4815 Alameda Ave
El Paso, TX 79905-2705
Phone
(915) 215-4600
Fax
(915) 545-7338
NPI assigned
Apr 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q2695 TX Primary

Addresses

Primary practice location

4815 Alameda Ave
El Paso, TX 79905-2705

Mailing address

5130 Gateway Blvd E # 51015
El Paso, TX 79905-1608
Phone (915) 215-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150512002035 TX Practitioner - Emergency Medicine 6406175579 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearsall Emergency Medicine Associates, PAGroup PAC ID 1557623147, 45 clinicians
Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

Practice addresses (Care Compare)

11274 McCombs St
El Paso, TX 79934-3455
Phone (915) 242-2400

1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (915) 747-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15870NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 8, 2024 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 24, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince May 1, 2015 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jan 27, 2023 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince May 1, 2015 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jan 27, 2023 Accepting new patients
Cep America - California Emergency Medicine Past Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients
Tenet Hospitals Limited PastSince Jul 24, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

4800 Alberta Ave
#101
El Paso, TX 79905
Phone (915) 215-4478

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

1521 Joe Battle Blvd
Ste B
El Paso, TX 79936
Phone (915) 521-7798

11380 Gateway Blvd N
#105108
El Paso, TX 79934
Phone (915) 577-8221

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

Organizations & group practices 11

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 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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1801152525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 GATEWAY BLVD E # 51015",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051608",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-215-4600",
            "fax_number": "915-545-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "CARLOS",
        "middle_name": "ROBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q2695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.