Active NPI
Jose Octavio Ortega, MD
- Sports Medicine (Internal Medicine) Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 21877
- Practice address
- 805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636 - Phone
- (205) 939-3699
- Fax
- (205) 484-2585
- NPI assigned
- Mar 1, 2006
- Last updated
- May 5, 2025
- 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 |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 21877 | AL | Primary |
Addresses
Primary practice location
805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636
Mailing address
805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1636
Phone (205) 939-3699
Other practice location 1
5406 Highway 280 Ste D106
Hoover, AL 35242-6596
Phone (205) 939-3699
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009912671 | Medicaid | AL | |
| 51006177 | Other | AL | BCBS |
| 51521092 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Sports Medicine
- Education
- University of Alabama School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehab Associates, LLC
Practice addresses (Care Compare)
1021 Montgomery Hwy
Suite 200
Vestavia Hills, AL 35216-2805
Phone (205) 882-6990
200 Montgomery Hwy
Suite 150
Vestavia Hills, AL 35216-1898
Phone (205) 822-0067
3014 Allison Bonnett Memorial Dr
Suite 144And146
Hueytown, AL 35023-2392
Phone (205) 744-9444
5000 Cahaba River Rd
Vestavia, AL 35243-2317
Phone (659) 241-0200
5406 Hwy 280
Suite D106
Hoover, AL 35242-6596
Phone (205) 939-3699
592 Fieldstown Rd
Suite 114And116
Gardendale, AL 35071-3414
Phone (205) 608-3606
7201 Happy Hollow Rd
Suite 202 a
Trussville, AL 35173-2458
Phone (205) 939-3699
805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1638
Phone (205) 939-3699
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STV Sports Medicine & Orthopedics LLC | Sports Medicine | Current | Accepting new patients |
| STV Sports Medicine & Orthopedics LLC | Current | Accepting new patients | |
| Graham L. Howorth, M.D., P.C. | Past | Accepting new patients | |
| STV Sports Medicine & Orthopedics LLC | Past | Accepting new patients | |
| Orthoeast, PC | Past | Accepting new patients | |
| Alabama Sports Medicine and Ortho Center | Past | Accepting new patients |
Locations
805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205
5406 Highway 280
Ste D106
Hoover, AL 35242
7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173
Interoperability endpoints
- jortega@andrewssm.emadirect.md
- jortega@asmoc1682.srs-direct.com
Organizations & group practices 7
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Birmingham, AL
- NPI 1467818575
-
dba Champion Sports Medicine
- Physical Therapy Clinic/Center
- Gardendale, AL
- NPI 1346813516
-
- Durable Medical Equipment & Medical Supplies
- Pelham, AL
- NPI 1770365504
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Alexander City, AL
- NPI 1013198985
-
dba Alabama Orthpaedic Surgeons
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1245530955
-
- Durable Medical Equipment & Medical Supplies
- Hoover, AL
- NPI 1235911058
-
- Orthopaedic Surgery Physician
- Bham, AZ
- NPI 1487629101
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent's Birmingham
- General Acute Care Hospital
- Birmingham, AL
- NPI 1841298999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1912974833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SAINT VINCENTS DR",
"address_2": "SUITE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051636",
"telephone_number": "205-939-3699",
"fax_number": "205-484-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 SAINT VINCENTS DR",
"address_2": "SUITE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051636",
"telephone_number": "205-939-3699",
"fax_number": "205-484-2585"
}
],
"practiceLocations": [
{
"address_1": "5406 Highway 280 Ste D106",
"address_purpose": "LOCATION",
"city": "Hoover",
"state": "AL",
"postal_code": "352426596",
"country_code": "US",
"telephone_number": "205-939-3699",
"fax_number": "205-484-2585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTEGA",
"first_name": "JOSE",
"middle_name": "OCTAVIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "AL",
"license": "21877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009912671",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51006177",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51521092",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.