Individual provider Active NPI

John Luis Ortega Valdes

  • Physician Assistant
  • Ft Worth, TX
National Provider Identifier
1992513337
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1223266 Issued in TX
Practice address
1001 12TH Ave Ste 132
Ft Worth, TX 76104-3926
Phone
(817) 877-4105
Fax
(817) 348-9797
NPI assigned
Dec 18, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1223266 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1001 12TH Ave Ste 132
Ft Worth, TX 76104-3926

Mailing address

9225 Sweeney CT
Aubrey, TX 76227-5713
Phone (210) 412-8115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501001211 TX Practitioner - Physician Assistant 8729556337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 12TH Ave
Fort Worth, TX 76104-3926

9225 Sweeney CT
Aubrey, TX 76227-5713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1223266TXMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1992513337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 SWEENEY CT",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762275713",
            "telephone_number": "210-412-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 132",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-877-4105",
            "fax_number": "817-348-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA VALDES",
        "first_name": "JOHN",
        "middle_name": "LUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-18",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1223266",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.