DR. ENRIQUE CALEB MEDINA ORTIZ (MD) – Rheumatology Physician, NPI 1285159160

DR. ENRIQUE CALEB MEDINA ORTIZ (MD) is a healthcare provider. based in Shenandoah, Texas. specializing in RHEUMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. V0047 (TX). The NPI Number for DR. ENRIQUE CALEB MEDINA ORTIZ (MD) is 1285159160

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ENRIQUE CALEB MEDINA ORTIZ (MD)
NPI
1285159160
Phone
(936) 273-3900
Address
129 VISION PARK BLVD STE 211A
Enumeration Date
11 August 2017
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9362733900
Graduation Year
2019 (7 years ago)
PAC ID
4688909781
Group Practice PAC ID
1052567591
Professional Enrollment ID
I20240618001958
Address ID
TX773843024SH129XXBLVD409
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

503 RHEUMATOLOGY in TX

Provider Addresses for DR. ENRIQUE CALEB MEDINA ORTIZ (MD)

  • 129 VISION PARK BLVD STE 211A

    SHENANDOAH, TX 773843024

    Phone: (936) 273-3900

    Fax: (936) 273-3901

    Type: Location

  • 6 CALLEBLOQUE K10

    CUPEY GARDENS

    SAN JUAN, PR 00926

    Phone: (787) 248-6060

    Type: Mailing

  • AVE 65 DE INFANTERIA, CARRETERA 3 KM. 8.3

    CAROLINA, PR 00984

    Phone: (787) 757-1800

    Type: Location

  • 400 HARBORSIDE DR

    SUITE 100

    GALVESTON, TX 775503032

    Phone: (409) 772-0755

    Fax: (409) 747-7014

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $2,903.

Total Amount is formed as General ($2,903) + Research ($0) + Ownership ($0) = $2,903.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($693).

Total Amount

$2,903

General + Research + Ownership

Payments

92

Total payment records

General Amount

$2,903

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240618001958IRheumatologyTXTBD

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 77384)

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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: 1052567591View full group profile
NameSpecialtyState
Rheumatology, Internal MedicineTX
Rheumatology, Internal MedicineTX

Reviews

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Frequently asked questions

Where can patients find DR. ENRIQUE CALEB MEDINA ORTIZ (MD)'s NPI?
You can confirm DR. ENRIQUE CALEB MEDINA ORTIZ (MD) with NPI 1285159160; it appears in the national provider directory.
Does this profile mean DR. ENRIQUE CALEB MEDINA ORTIZ (MD) is currently active?
Yes — DR. ENRIQUE CALEB MEDINA ORTIZ (MD) appears active in the national provider directory.
Can you summarize DR. ENRIQUE CALEB MEDINA ORTIZ (MD)'s specialty in plain language?
Clinically, the directory lists DR. ENRIQUE CALEB MEDINA ORTIZ (MD) with Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ENRIQUE CALEB MEDINA ORTIZ (MD)'s primary listing?
We display Shenandoah, Texas because that is what the record indicates for DR. ENRIQUE CALEB MEDINA ORTIZ (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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