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DR. ANDRES ORTEGA D.O.
NPI 1386024545
Family Medicine in New York, NY

Active since June 03, 2015PECOS EnrolledAccepts Medicare Assignment
55 E 34TH ST FL 5, NEW YORK, NY 10016(212) 252-6005 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andres Ortega D.o. NPPES

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

DR. ANDRES ORTEGA D.O. (NPI 1386024545) is an individual family medicine provider in New York, New York, licensed in New York (296509) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Far Rockaway, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1386024545
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDRES ORTEGACredential: D.O.
Location Address55 E 34TH ST FL 5New York, NY 10016-4337
Mailing Address55 E 34th St Fl 5New York, NY 10016-4337 · (212) 252-6005
Phone(212) 252-6005
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 3, 2015
Last NPPES UpdateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1386024545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 296509
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
55 E 34TH ST FL 5, New York, NY 10016
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Secondary Practice Location 1

Location 1327 Beach 19th StFar Rockaway, NY 11691-4423 · Phone (718) 869-7000

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

Dr. Andres Ortega D.o. 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 ID4880023126
PECOS Enrollment IDI20200407002743
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
95 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. DAVID HARRIS COUN MD
Internal Medicine
55 E 34TH ST FL 5
NEW YORK, NY 10016
New York County (929) 210-6000
DR. ABIGAIL R CHEN M.D.
Internal Medicine
55 E 34TH ST FL 5
NEW YORK, NY 10016
New York County (212) 252-6005
DR. MARISSA PEDRO DO
Internal Medicine
55 E 34TH ST FL 5
NEW YORK, NY 10016
New York County (212) 252-6005
AVI RUBIN SONNENSCHEIN DO
Internal Medicine
55 E 34TH ST FL 5
NEW YORK, NY 10016
New York County (212) 252-6005

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 Andres Ortega's NPI number?

The NPI number for Andres Ortega is 1386024545. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Andres Ortega located?

Andres Ortega practices at 55 E 34th St Fl 5, New York, NY 10016. The listed phone number is (212) 252-6005.

What is Andres Ortega's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andres Ortega enrolled in Medicare?

Yes. Andres 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.

When was this NPI record last updated?

The NPPES record for Andres Ortega was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.