Individual provider Active NPI

Jose Octavio Ortega, MD

  • Sports Medicine (Internal Medicine) Physician
  • Birmingham, AL
National Provider Identifier
1912974833
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
21877 Issued in AL
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009912671MedicaidAL
51006177OtherALBCBS
51521092OtherALBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001158 AL Practitioner - Sports Medicine 0244228351 Reassigns benefits to 1 organization

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, LLCGroup PAC ID 0446168694, shared by 3 NPIs, 17 clinicians
STV Sports Medicine and Orthopedics LLCGroup PAC ID 0446554562, 48 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
STV Sports Medicine & Orthopedics LLC Sports Medicine CurrentSince Jan 4, 2016 Accepting new patients
STV Sports Medicine & Orthopedics LLC CurrentSince Jan 4, 2016 Accepting new patients
Graham L. Howorth, M.D., P.C. Past Accepting new patients
STV Sports Medicine & Orthopedics LLC PastSince Oct 1, 2023 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

  • Direct secure messaging: jortega@andrewssm.emadirect.md
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.