Individual provider Active NPI

Alonzo Ortega, DO

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1871590588
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6485 Issued in TX
Practice address
517 SW Military Dr Ste 106
San Antonio, TX 78221-1639
Phone
(210) 921-0322
Fax
(210) 921-1451
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H6485 TX Primary

Addresses

Primary practice location

517 SW Military Dr Ste 106
San Antonio, TX 78221-1639

Mailing address

517 SW Military Dr Ste 106
San Antonio, TX 78221-1639
Phone (210) 921-0322

Other identifiers 2

IdentifierTypeStateIssuer
1169179-04OtherTXWELLMED MEDICAID
TXB130977OtherTXWELLMED MEDICARE

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
I20080505000260 TX Practitioner - Family Practice 5092894923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6485TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jun 12, 2011 Accepting new patients
Wellmed Medical Group, PA Family Medicine CurrentSince Dec 24, 2023 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jun 12, 2011 Accepting new patients

Locations

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

517 SW Military Dr
Ste A
San Antonio, TX 78221
Phone (210) 558-0121

7333 Barlite Blvd
Ste 400
San Antonio, TX 78224
Phone (210) 921-3939

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

1131 SE Military Dr
Ste 117
San Antonio, TX 78214
Phone (210) 924-8146

517 SW Military Dr
Ste 106
San Antonio, TX 78221
Phone (210) 921-0322

8101 Roughrider Dr
Windcrest, TX 78239
Phone (210) 653-8085

Interoperability endpoints

  • Direct secure messaging: alonzo.ortega@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1871590588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SW MILITARY DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211639",
            "telephone_number": "210-921-0322",
            "fax_number": "210-921-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 SW MILITARY DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211639",
            "telephone_number": "210-921-0322",
            "fax_number": "210-921-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "ALONZO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "1169179-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICARE",
            "identifier": "TXB130977",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.