NPIMap

Individual provider Active NPI

G Michael Ortiz, M.D.

  • Urology Physician
  • Saratoga Springs, NY
National Provider Identifier
1023068640
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
195818-3 Issued in NY
Practice address
19 West Ave
Suite 103
Saratoga Springs, NY 12866-6049
Phone
(518) 583-0111
Fax
(518) 583-2426
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 195818-3 NY Primary

Addresses

Primary practice location

19 West Ave
Suite 103
Saratoga Springs, NY 12866-6049

Mailing address

19 West Ave
Suite 103
Saratoga Springs, NY 12866-6049
Phone (518) 583-0111

Other identifiers 8

IdentifierTypeStateIssuer
01492488MedicaidNY
10001523OtherNYCAPITAL DISTRICT PHYSICIA
P00291581OtherNYRAILROAD MEDICARE
1099054OtherNYGHI PPO
24118OtherNYMOHAWK VALLEY PHYSICIANS
000434014010OtherNYBLUE SHIELD OF NORTHEASTE
929454OtherNYGHI HMO
G004S24710OtherNYEMPIRE BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100707000046 NY Practitioner - Urology 9032240114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of Ny Upstate Medical University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195818-3NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Oct 1, 2013 Accepting new patients
Saratoga Hospital CurrentSince Oct 1, 2013 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

6 Medical Park Dr
Ste 206
Malta, NY 12020
Phone (518) 289-2718

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

19 West Ave
Ste 103
Saratoga Springs, NY 12866
Phone (518) 583-0111

Interoperability endpoints

  • Direct secure messaging: mortiz100732@albanymed.direct-ci.com

Organizations & group practices 4

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1023068640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WEST AVE",
            "address_2": "SUITE 103",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666049",
            "telephone_number": "518-583-0111",
            "fax_number": "518-583-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WEST AVE",
            "address_2": "SUITE 103",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666049",
            "telephone_number": "518-583-0111",
            "fax_number": "518-583-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "G MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "195818-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01492488",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL DISTRICT PHYSICIA",
            "identifier": "10001523",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00291581",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "1099054",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOHAWK VALLEY PHYSICIANS",
            "identifier": "24118",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NORTHEASTE",
            "identifier": "000434014010",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "929454",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "G004S24710",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.