Active NPI
Marcos R Ortega, M.D.
- Plastic Surgery Physician
- Pensacola, FL
National Provider Identifier
1861470312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME84738
- Practice address
- 5080 Bayou Blvd
Pensacola, FL 32503-2522 - Phone
- (850) 477-4074
- Fax
- (850) 476-9234
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME84738 | FL | Primary |
Addresses
Primary practice location
5080 Bayou Blvd
Pensacola, FL 32503-2522
Mailing address
5080 Bayou Blvd
Pensacola, FL 32503-2522
Phone (850) 477-4074
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME 84738 | Other | FL | LICENSE NUMBER |
| 59062530 | Other | FL | BC/BS AL ID NUMBER |
| 28054 | Other | FL | BC/BS OF FL ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Hahnemann University College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5080 Bayou Blvd
Pensacola, FL 32503-2522
Phone (850) 477-4074
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teodoro K. Ortega, M.D., P.a. | Plastic Surgery | Current | Accepting new patients |
Locations
5080 Bayou Blvd
Pensacola, FL 32503
Phone (850) 477-4074
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.
-
- Plastic Surgery Physician
- Pensacola, FL
- NPI 1285612721
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1861470312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 BAYOU BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032522",
"telephone_number": "850-477-4074",
"fax_number": "850-476-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5080 BAYOU BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032522",
"telephone_number": "850-477-4074",
"fax_number": "850-476-9234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "MARCOS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME84738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "ME 84738",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS AL ID NUMBER",
"identifier": "59062530",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF FL ID NUMBER",
"identifier": "28054",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.