Individual provider Active NPI

Edgardo Rafael Ortiz Flores, M.D.

  • Hematology & Oncology Physician
  • Brunswick, ME
National Provider Identifier
1184933996
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
28108 Issued in ME
Practice address
329 Maine St # E101
Brunswick, ME 04011-3310
Phone
(207) 373-2266
NPI assigned
Sep 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 22956 PR
Hematology & Oncology Physician 207RH0003X MD-24293 HI
Hematology & Oncology Physician 207RH0003X A144166 CA
Hematology & Oncology Physician 207RH0003X 28108 ME Primary

Addresses

Primary practice location

329 Maine St # E101
Brunswick, ME 04011-3310

Mailing address

329 Maine St # E101
Brunswick, ME 04011-3310
Phone (207) 373-2266

Other practice location 1

1135 S Sunset Ave Ste 301
West Covina, CA 91790
Phone (626) 283-5183

Other practice location 2

11480 Brookshire Ave
Suite 309
Downey, CA 90241-5025
Phone (562) 869-1201

Other practice location 3

11480 Brookshire Ave
Suite 309
Downey, CA 90241-5025
Phone (562) 869-1201

Other practice location 4

700 Lilly Rd NE
Olympia, WA 98506-5115
Phone (360) 923-7000

Other identifiers 2

IdentifierTypeStateIssuer
12779-IOtherPRSTATE MEDICAL LICENSE
4554906OtherPRSTATE DRIVER'S LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ME, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160907001283 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5395031033 Reassigns benefits to 1 organization
I20240506003595 ME Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5395031033
I20250226001053 WA Practitioner - Medical Oncology 5395031033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Lilly Rd NE
Olympia, WA 98506-5115
Phone (360) 923-7000

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144166CAMDHematology & Oncology Physician
28108MEMDHematology & Oncology Physician
22956PRMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Feb 1, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 10, 2020 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Feb 1, 2025 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 21, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 10, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 21, 2024 Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients

Locations

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

1285 Waianuenue Ave
#2
Hilo, HI 96720

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

700 Lilly Rd NE
Olympia, WA 98506
Phone (360) 923-7000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Networks

  • HI PPO

Interoperability endpoints

  • Direct secure messaging: edgardo.ortiz@theoncologyinstitute.ikm.direct-ci.com
  • Direct secure messaging: eortizflores2625022@ghc.direct-ci.net
  • Direct secure messaging: eortizflores701336@direct.mmc.mainehealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1184933996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MAINE ST # E101",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113310",
            "telephone_number": "207-373-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAINE ST # E101",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113310",
            "telephone_number": "207-373-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 S Sunset Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "91790",
            "country_code": "US",
            "telephone_number": "626-283-5183",
            "fax_number": "626-214-1547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11480 Brookshire Ave",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902415025",
            "country_code": "US",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11480 Brookshire Ave",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902415025",
            "country_code": "US",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065115",
            "country_code": "US",
            "telephone_number": "360-923-7000",
            "fax_number": "360-923-7089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ FLORES",
        "first_name": "EDGARDO",
        "middle_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-28",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "22956",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "HI",
            "license": "MD-24293",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A144166",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ME",
            "license": "28108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "12779-I",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DRIVER'S LICENSE",
            "identifier": "4554906",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "700 Lilly Rd NE",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.