Individual provider Active NPI

Angela Nicole Ortega-Bermudez, DO

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1982873360
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1539 Issued in NV
Practice address
390 W Lake Mead Pkwy Ste 12
Henderson, NV 89015-7417
Phone
(725) 220-8477
Fax
(833) 749-0360
NPI assigned
Feb 29, 2008
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1539 NV Primary

Addresses

Primary practice location

390 W Lake Mead Pkwy Ste 12
Henderson, NV 89015-7417

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

2847 Saint Rose Pkwy Ste 150
Henderson, NV 89052-4845
Phone (702) 213-4848

Other identifiers 1

IdentifierTypeStateIssuer
V71392OtherNVMEDICARE

Other names 1

  • Angela Ortega Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela.ortega-bermudez.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20101030000108 NV Practitioner - Internal MedicinePractitioner - Family Practice 5991999344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4001 S Decatur Blvd
Suite 25
Las Vegas, NV 89103-5857
Phone (725) 224-6967

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1539NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC Internal Medicine CurrentSince Nov 2, 2021 Accepting new patients
Centerwell Senior Primary Care NV P C Internal Medicine CurrentSince Nov 2, 2021 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2847 Saint Rose Pkwy
Ste 150
Henderson, NV 89052
Phone (702) 213-4848

390 W Lake Mead Pkwy
Ste 120
Henderson, NV 89015
Phone (725) 220-8477

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

Interoperability endpoints

  • Direct secure messaging: angela.ortegabermudez@centerwell.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1982873360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W LAKE MEAD PKWY STE 12",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157417",
            "telephone_number": "725-220-8477",
            "fax_number": "833-749-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2847 Saint Rose Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524845",
            "country_code": "US",
            "telephone_number": "702-213-4848",
            "fax_number": "702-213-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA-BERMUDEZ",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "1539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V71392",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.ortega-bermudez.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "390 W Lake Mead Pkwy Ste 12",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890157417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ORTEGA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.