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DR. ANTONIO M. ORTEGA M.D.
NPI 1528060969
Internal Medicine - Infectious Disease in El Paso, TX

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
1400 N EL PASO ST, BUILDING D, EL PASO, TX 79902(915) 544-9969(915) 544-9970 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Antonio M. Ortega M.d. NPPES

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

DR. ANTONIO M. ORTEGA M.D. (NPI 1528060969) is an individual infectious disease provider in El Paso, Texas, licensed in Texas (K0970) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Las Palmas Medical Center A Campus Of Lpds Healthc, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1528060969
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. ANTONIO M. ORTEGACredential: M.D.
Location Address1400 N EL PASO ST, BUILDING DEl Paso, TX 79902-3437
Mailing Address7101 N Mesa St, Pmb 300El Paso, TX 79912-3613 · (915) 544-9969 · Fax (915) 544-9970
Phone(915) 544-9969
Fax(915) 544-9970
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 15, 2005
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1528060969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · K0970
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License K0970 (TX)
1400 N EL PASO ST, El Paso, TX 79902
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Other Identifiers 1

Medicaid1206674-03TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.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

Dr. Antonio 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 ID1951337690
PECOS Enrollment IDI20050713000834
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
109 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450107
Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79902 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 7

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

RODOLFO FIERRO-STEVENS M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1400 N EL PASO ST, B
EL PASO, TX 79902
El Paso County (915) 544-4911
ARTURO CASILLAS
Pediatrics
1400 N EL PASO ST, BLDG. E
EL PASO, TX 79902
El Paso County (915) 577-0444
MRS. LORRAINE MICHELLE MATA
Nurse Practitioner (Pediatrics)
1400 N EL PASO ST
EL PASO, TX 79902
El Paso County (915) 577-0445
OSCAR E PEREZ MD PA
Psychiatry & Neurology (Psychiatry)
1400 N EL PASO ST, BLDG A
EL PASO, TX 79902
El Paso County (915) 533-5550
MRS. ROSALINDA T SANCHEZ R.N.,M.S.N.,C.P.N.P.
Nurse Practitioner (Pediatrics)
1400 N EL PASO ST, E
EL PASO, TX 79902
El Paso County (915) 577-0444
ANDRES DOMINGO BOADELLA M.D.
Pediatrics
1400 N EL PASO ST, BLDG E
EL PASO, TX 79902
El Paso County (915) 577-0444
PEDIATRIC GROUP OF CENTRAL EL PASO
Pediatrics (Adolescent Medicine)
1400 N EL PASO ST, BLDG. E
EL PASO, TX 79902
El Paso County (915) 577-0444

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 Antonio Ortega's NPI number?

The NPI number for Antonio Ortega is 1528060969. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Antonio Ortega located?

Antonio Ortega practices at 1400 N El Paso St Building D, El Paso, TX 79902. The listed phone number is (915) 544-9969.

What is Antonio Ortega's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Antonio Ortega enrolled in Medicare?

Yes. Antonio 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 Antonio Ortega accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and UnitedHealthcare list Antonio 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.

Is Antonio Ortega affiliated with any hospitals?

According to CMS data, Antonio Ortega is affiliated with Las Palmas Medical Center A Campus Of Lpds Healthc and Sierra Medical Center.

When was this NPI record last updated?

The NPPES record for Antonio Ortega was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.