ENRIQUE M ORTEGA M.D.
NPI 1174525455
Obstetrics & Gynecology in Houston, TX

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6031 AIRLINE DR, HOUSTON, TX 77076(713) 694-6600(713) 694-6616 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Enrique M Ortega M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENRIQUE M ORTEGA M.D. (NPI 1174525455) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (J2969) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1174525455
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameENRIQUE M ORTEGACredential: M.D.
Location Address6031 AIRLINE DRHouston, TX 77076-4209
Mailing Address6031 Airline DrHouston, TX 77076-4209 · (713) 694-6600 · Fax (713) 694-6616
Fax(713) 694-6616
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 1, 2005
Last NPPES UpdateJune 12, 2012
NPI 1174525455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · J2969
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6031 AIRLINE DR, Houston, TX 77076

Other Identifiers 4

Medicare UPINF69183TX
Medicaid099339604TX
Other88009GTX · Blue Cross & Blue Shield
Medicare ID-Type Unspecified8730M9TX · Harris County

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Enrique M Ortega M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729401351
PECOS Enrollment IDI20200714003822
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
6031 AIRLINE DR
HOUSTON, TX 77076
Clinic/Center
6031 AIRLINE DR
HOUSTON, TX 77076
Obstetrics & Gynecology (Obstetrics)
6031 AIRLINE DR
HOUSTON, TX 77076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enrique Ortega's NPI number?

The NPI number for Enrique Ortega is 1174525455. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Enrique Ortega located?

Enrique Ortega practices at 6031 Airline Dr, Houston, TX 77076. The listed phone number is (713) 694-6600.

What is Enrique Ortega's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Enrique Ortega enrolled in Medicare?

Yes. Enrique Ortega is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Enrique Ortega accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Enrique Ortega as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Enrique Ortega was last updated on June 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.