Active NPI
Ricardo J Ortega, MD
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1982694824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 81-280
- Practice address
- 5519 Rabadi Castle Ave NW
Albuquerque, NM 87114-1412 - Phone
- (505) 833-5091
- Fax
- (505) 352-6857
- NPI assigned
- Oct 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 81-280 | NM | Primary |
Addresses
Primary practice location
5519 Rabadi Castle Ave NW
Albuquerque, NM 87114-1412
Mailing address
5519 Rabadi Castle Ave NW
Albuquerque, NM 87114-1412
Phone (505) 833-5091
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81-280 | Other | NM | STATE MEDICAL LICENSE # |
| CS00008264 | Other | NM | NM STATE PHARMACY # |
| 400521255 | Other | NM | MEDICARE PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ricardo_ortega@ricardoortegamdllc.amazing-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1982694824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5519 RABADI CASTLE AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871141412",
"telephone_number": "505-833-5091",
"fax_number": "505-352-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5519 RABADI CASTLE AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871141412",
"telephone_number": "505-833-5091",
"fax_number": "505-352-6857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "RICARDO",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "81-280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE #",
"identifier": "81-280",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM STATE PHARMACY #",
"identifier": "CS00008264",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER #",
"identifier": "400521255",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.