Active NPI
Carlos Ortiz, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 050632
- Practice address
- 200 Hawthorne Lane
Charlotte, NC 28204 - Phone
- (704) 384-4239
- Fax
- (704) 384-5636
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 050632 | NC | Primary |
Addresses
Primary practice location
200 Hawthorne Lane
Charlotte, NC 28204
Mailing address
PO Box 601549
Charlotte, NC 28260-1549
Phone (704) 384-4239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAN404 | Medicaid | SC | |
| 8052237 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13808 Professional Ctr Dr
Huntersville, NC 28078-7948
Phone (704) 377-4009
164 Glenwood Dr
Rock Hill, SC 29732-2865
Phone (803) 325-9010
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.26 of 100
- Quality
- 84.96
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050632 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Optimum Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| York County Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| Piedmont Physician Network LLC | Current | Accepting new patients | |
| Coastal Healthcare Resources Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Gaston Anesthesia Associates, P.a. | Past | Accepting new patients |
Locations
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
200 Hawthorne Ln
Fl 2
Charlotte, NC 28204
Phone (704) 384-4274
2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
2545 Court Dr
Gastonia, NC 28054
Phone (704) 671-5600
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
13808 Professional Center Dr
Huntersville, NC 28078
Phone (704) 717-5549
6068 W Highway 74
Indian Trail, NC 28079
Phone (704) 821-5192
101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294
40 Okatie Center Blvd S
Ste 125
Okatie, SC 29909
Phone (843) 705-8804
164 Glenwood Dr
Rock Hill, SC 29732
Phone (803) 325-9010
200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950
Interoperability endpoints
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- Gastroenterology Physician
- Huntersville, NC
- NPI 1730100801
-
- Anesthesiology Physician
- Poland, OH
- NPI 1851656854
Nurse Anesthetist, Certified Registered, SC
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Florence, SC
- NPI 1467635128
NC, Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- York, SC
- NPI 1194277186
-
- Anesthesiology Physician
- Rock Hill, SC
- NPI 1487974606
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1851548655
-
- Specialist
- Gastonia, NC
- NPI 1629024062
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1487626933
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1093764441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601549",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601549",
"telephone_number": "704-384-4239",
"fax_number": "704-384-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE LANE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28204",
"telephone_number": "704-384-4239",
"fax_number": "704-384-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "CARLOS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "050632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN404",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052237",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.