Individual provider Active NPI

Ileana Ivonne Ortiz, M.D

  • Internal Medicine Physician
  • East Meadow, NY
National Provider Identifier
1124316856
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49413 Issued in AZ
Practice address
2201 Hemstead Turnpike
East Meadow, NY 11554
Phone
(516) 572-0123
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 49413 AZ Primary

Addresses

Primary practice location

2201 Hemstead Turnpike
East Meadow, NY 11554

Mailing address

5410 Maryland Way Ste 300
Brentwood, TN 37027-5339
Phone (615) 371-4423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20141124001021 AZ Practitioner - HospitalistPractitioner - Internal Medicine 9335461680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

1171 W Target Range Rd
Nogales, AZ 85621-2415
Phone (520) 285-3000

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 229-2657

Hospital & facility affiliations

  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010
  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Physicians, Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
American Physicians, Inc. Hospitalist CurrentSince Jan 1, 2022 Accepting new patients
Northwest HBP Medical Services LLC Hospitalist CurrentSince Jun 17, 2024 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Dec 31, 2016 Accepting new patients
Northwest Hospital LLC Past Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients

Locations

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

5620 W Cortaro Farms Rd
Tucson, AZ 85742
Phone (520) 872-4000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: ileana.ortiz@direct.carondelet.org

Organizations & group practices 7

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 4

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1124316856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275339",
            "telephone_number": "615-371-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMSTEAD TURNPIKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-572-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ILEANA",
        "middle_name": "IVONNE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "49413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.