Carlos Omar Lopez Ortiz, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME149969 Issued in FL

Practice address

1431 SW 1St Ave
Ocala, FL 34471-6500

Phone

(352) 401-1000

NPI assigned

Sep 2, 2016

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Jupiter, FL
  • NPI 1598748030
  Medicare reassignment NPD
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Bushnell, FL
  • NPI 1326619727
  NPD
• Sheridan Emergency Physician Services, Inc

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1528206992
  NPD

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1134676430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SW 60TH STREET RD APT 3608",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744729",
            "telephone_number": "787-633-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716500",
            "telephone_number": "352-401-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital UPR - Federico Trilla",
            "address_2": "Primer Piso Area Administrativa",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00924",
            "country_code": "US",
            "telephone_number": "787-769-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ ORTIZ",
        "first_name": "CARLOS",
        "middle_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME149969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Evan Longhofer, OTR/L
• Dana Loos, PTA
• Jorge Martin Lopez Da Re, M.D.
• Diego Lopez de Castilla Koster, MD MPH
• Tamara Lopez Diaz, M.D
• Karina Lopez Roman, BA, RBT
• Jackeline Lopez Ruiz
• Alexis Lopez
• Carlos Manuel Lopez, M.D
• Christian Alexis Lopez, MD

• Emergency Medicine Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.