DR. JOHN D ORTEGA MD
NPI 1740231810
Otolaryngology in Elmhurst, IL
About Dr. John D Ortega Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN D ORTEGA MD (NPI 1740231810) is an individual otolaryngology provider in Elmhurst, Illinois, licensed in Illinois (036102985) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1994).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. John D Ortega Md 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elmhurst Memorial Hospital
Acute Care Hospitals · Elmhurst, ILEdward Hospital
Acute Care Hospitals · Naperville, ILLoyola University Medical Center
Acute Care Hospitals · Maywood, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Ortega's NPI number?
The NPI number for John Ortega is 1740231810. It was assigned to this individual provider in the NPPES registry on May 13, 2006.
Where is John Ortega located?
John Ortega practices at 1200 S York St Ste 4180, Elmhurst, IL 60126. The listed phone number is (331) 221-9004.
What is John Ortega's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is John Ortega enrolled in Medicare?
Yes. John 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 John Ortega accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list John 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 John Ortega affiliated with any hospitals?
According to CMS data, John Ortega is affiliated with Elmhurst Memorial Hospital, Edward Hospital and Loyola University Medical Center.
When was this NPI record last updated?
The NPPES record for John Ortega was last updated on June 21, 2021. 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.
# Dr. John D Ortega, MD · NPI 1740231810
Otolaryngology physician in Elmhurst, Illinois. Individual provider, active in the CMS NPPES registry since May 13, 2006.
## Identity
- **NPI:** 1740231810 (Entity type: Individual)
- **Enumerated:** May 13, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 036102985 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 S YORK ST STE 4180, Elmhurst, IL 60126-5630
- **Phone:** (331) 221-9004 · **Fax:** (331) 221-3998
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Illinois College Of Med, class of 1994
## Record status
- **NPPES last updated:** June 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1740231810) · Data from the CMS NPPES public registry.