Individual provider Active NPI

Gerald James Ortiz, M.D.

  • Orthopaedic Surgery Physician
  • Amsterdam, NY
National Provider Identifier
1003805128
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
198830-1 Issued in NY
Practice address
5010 State Highway 30 Ste 205
Amsterdam, NY 12010-7532
Phone
(518) 843-2663
Fax
(518) 842-4861
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 198830-1 NY Primary

Addresses

Primary practice location

5010 State Highway 30 Ste 205
Amsterdam, NY 12010-7532

Mailing address

5010 State Highway 30 Ste 205
Amsterdam, NY 12010-7532
Phone (518) 843-2663

Other identifiers 1

IdentifierTypeStateIssuer
01558158MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000077 NY Practitioner - Orthopedic Surgery 2769399435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
JS Weill Medical College, Cornell University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fulton Montgomery Medical PCGroup PAC ID 1557899648, 7 clinicians

Practice addresses (Care Compare)

5010 State Hwy 30
Suite 205
Amsterdam, NY 12010-7532
Phone (518) 842-2663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)21
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
198830-1NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton Montgomery Medical PC Orthopaedic Surgery CurrentSince Jan 1, 2025 Accepting new patients

Locations

5010 State Highway 30
Ste 205
Amsterdam, NY 12010
Phone (518) 842-2663

434 S Kingsboro Ave
#102
Johnstown, NY 12095
Phone (518) 773-4242

Interoperability endpoints

  • Direct secure messaging: gjortiz@mohawkvalleyortho.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1003805128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE 205",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-843-2663",
            "fax_number": "518-842-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE 205",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-843-2663",
            "fax_number": "518-842-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "GERALD",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "198830-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01558158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.