Individual provider Active NPI

Vicente Ortiz, M.D.

  • General Practice Physician
  • Meadowview, VA
National Provider Identifier
1093964280
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101246937 Issued in VA
Practice address
13168 Meadowview Square
Meadowview, VA 24361
Phone
(276) 944-3999
Fax
(276) 944-3882
NPI assigned
Sep 12, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101246937 VA Primary

Addresses

Primary practice location

13168 Meadowview Square
Meadowview, VA 24361

Mailing address

PO Box 729
Saltville, VA 24370-0729
Phone (276) 496-4492

Other practice location 1

319 5th Ave
Saltville, VA 24370-3418
Phone (276) 496-4492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100803000885 VA Practitioner - General Practice 7113050717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13168 Meadowview SQ
Meadowview, VA 24361-3328
Phone (276) 944-3999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Virginia Community Health Systems Incorporated Current Accepting new patients
Southwest Virginia Community Health Systems Inc. CurrentSince May 9, 2015 Accepting new patients
Southwest Virginia Community Health Systems Inc. CurrentSince May 9, 2015 Accepting new patients

Locations

308 W Main St
Saltville, VA 24370
Phone (276) 496-4433

319 5th Ave
Saltville, VA 24370

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093964280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243700729",
            "telephone_number": "276-496-4492",
            "fax_number": "276-496-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13168 MEADOWVIEW SQUARE",
            "city": "MEADOWVIEW",
            "state": "VA",
            "postal_code": "24361",
            "telephone_number": "276-944-3999",
            "fax_number": "276-944-3882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Saltville",
            "state": "VA",
            "postal_code": "243703418",
            "country_code": "US",
            "telephone_number": "276-496-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "VICENTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101246937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowview, VA

Sources for this page

Verify at the official NPI Registry.