DR. NADIA CAROLINA ORTEGA (MD) – Emergency Medicine Physician, NPI 1215511100

DR. NADIA CAROLINA ORTEGA (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD20754 (RI). The NPI Number for DR. NADIA CAROLINA ORTEGA (MD) is 1215511100

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. NADIA CAROLINA ORTEGA (MD)
NPI
1215511100
Phone
(401) 456-2000
Address
825 Chalkstone Ave
Enumeration Date
7 May 2021
Last Update Date
13 November 2025

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5083635000
Graduation Year
2021 (5 years ago)
PAC ID
2264943257
Group Practice PAC ID
4981069580
Professional Enrollment ID
I20260106001225
Address ID
MA016081216WO123XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

439 EMERGENCY MEDICINE in RI

Provider Addresses for DR. NADIA CAROLINA ORTEGA (MD)

  • 825 Chalkstone Ave

    Providence, RI 029084728

    Phone: (401) 456-2000

    Type: Location

  • 200 HIGH SERVICE AVE

    NORTH PROVIDENCE, RI 029045199

    Phone: (401) 456-3000

    Type: Location

  • 123 Summer St

    Worcester, MA 016081216

    Phone: (508) 363-5000

    Type: Location

  • 550 1ST AVE

    NEW YORK, NY 100166402

    Phone: (212) 263-5506

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250617001087IEmergency MedicineCTTBD
I20250617001224IEmergency MedicineRITBD
I20260106001225IEmergency MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02908)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981069580View full group profile
NameSpecialtyState
Emergency MedicineMA
Emergency MedicineMA
Emergency MedicineMA
Emergency MedicineMA
Emergency MedicineMA
Emergency MedicineMA
Emergency MedicineTX
Emergency MedicineNH
Emergency MedicineRI
Emergency MedicinePA

Reviews

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Frequently asked questions

What is the standard ID for DR. NADIA CAROLINA ORTEGA (MD) in the U.S.?
In the U.S., DR. NADIA CAROLINA ORTEGA (MD) is identified by NPI 1215511100.
Quick check: is DR. NADIA CAROLINA ORTEGA (MD) active?
Public NPPES data shows DR. NADIA CAROLINA ORTEGA (MD) with an active NPI status right now.
How should patients interpret DR. NADIA CAROLINA ORTEGA (MD)'s specialty?
The extract shows Emergency Medicine Physician for DR. NADIA CAROLINA ORTEGA (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. NADIA CAROLINA ORTEGA (MD) in Providence, Rhode Island?
For routing, start with Providence, Rhode Island for DR. NADIA CAROLINA ORTEGA (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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