Organization Active NPI

Lauro I. Ortega, MD, PA

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1912123167
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LAURO I. ORTEGA, MD, PA
Practice address
154 N Festival Dr Ste G
El Paso, TX 79912-6265
Phone
(915) 845-4024
Fax
(915) 845-4019
NPI assigned
Apr 17, 2007
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Patricia Coronado
Title
Practice Manager
Phone
(915) 845-4024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

154 N Festival Dr Ste G
El Paso, TX 79912-6265

Mailing address

154 N Festival Dr Ste G
El Paso, TX 79912-6265
Phone (915) 845-4024

Other names 1

  • Dwayne M. Aboud, MD PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110615000659 TX Part B Supplier - Clinic/Group Practice 0840477097 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1912123167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 N FESTIVAL DR STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126265",
            "telephone_number": "915-845-4024",
            "fax_number": "915-845-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 N FESTIVAL DR STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126265",
            "telephone_number": "915-845-4024",
            "fax_number": "915-845-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURO I. ORTEGA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "915-845-4024"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dwayne M. Aboud, MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.