NPIMap

Individual provider Active NPI

Kristeen R Ortega, MD

  • Interventional Pain Medicine Physician
  • Deltona, FL
National Provider Identifier
1902093446
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME116819 Issued in FL
Practice address
1565 Saxon Blvd
Suite 204
Deltona, FL 32725-5876
Phone
(386) 742-4343
Fax
(386) 742-1313
NPI assigned
Sep 28, 2007
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME116819 FL
Pain Medicine Physician 208VP0000X ME116819 FL
Interventional Pain Medicine Physician 208VP0014X ME116819 FL Primary

Addresses

Primary practice location

1565 Saxon Blvd
Suite 204
Deltona, FL 32725-5876

Mailing address

1565 Saxon Blvd
Suite 204
Deltona, FL 32725-5876
Phone (386) 742-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130816000079 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain ManagementPractitioner - Interventional Pain Management 3577687482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
SSP Medicine IncGroup PAC ID 0143382788, 2 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1565 Saxon Blvd
Suite 204
Deltona, FL 32725-5836
Phone (386) 742-4343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.96 of 100Reported as group
Quality
98.21
Improvement activities
40
Cost
79.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME116819FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSP Medicine Inc CurrentSince Aug 8, 2018 Accepting new patients

Locations

1565 Saxon Blvd
Ste 204
Deltona, FL 32725
Phone (386) 742-4343

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1902093446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD",
            "address_2": "SUITE 204",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255876",
            "telephone_number": "386-742-4343",
            "fax_number": "386-742-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD",
            "address_2": "SUITE 204",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255876",
            "telephone_number": "386-742-4343",
            "fax_number": "386-742-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "KRISTEEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME116819",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME116819",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME116819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.