Individual provider Active NPI

Lilliam I. Ortiz, M.D.

  • Pediatrics Physician
  • Hamilton, OH
National Provider Identifier
1205800489
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-062465 Issued in OH
Practice address
903 NW Washington Blvd Ste a
Hamilton, OH 45013-6367
Phone
(513) 454-1111
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-062465 OH Primary

Addresses

Primary practice location

903 NW Washington Blvd Ste a
Hamilton, OH 45013-6367

Mailing address

300 High St FL 3
Hamilton, OH 45011-6078
Phone (513) 454-1460

Other practice location 1

210 S 2nd St
Hamilton, OH 45011-2811
Phone (513) 454-1111

Other practice location 2

300 Forest Ave
Dayton, OH 45405-4500
Phone (937) 535-5060

Other practice location 3

1036 S Verity Pkwy
Middletown, OH 45044-5513
Phone (513) 454-1460

Other practice location 4

10 N Locust St Ste A
Oxford, OH 45056-1182
Phone (513) 454-1460

Other identifiers 1

IdentifierTypeStateIssuer
0896580MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-062465OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler County Community Health Consortium, Inc. Current Accepting new patients
Butler County Community Health Consortium, Inc. Current Accepting new patients
Butler County Community Health Consortium, Inc. CurrentSince Mar 8, 2024 Accepting new patients
Butler County Community Health Consortium Inc Current Accepting new patients
Butler County Community Health Consortium Inc CurrentSince Mar 8, 2024 Accepting new patients
Butler County Community Health Consortium, Inc. Current Accepting new patients
Butler County Community Health Consortium Inc Pediatrics Past Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients

Locations

300 Forest Ave
Dayton, OH 45405
Phone (937) 438-6465

903 NW Washington Blvd
Ste A
Hamilton, OH 45013
Phone (513) 737-6900

210 S 2nd St
Hamilton, OH 45011
Phone (513) 892-1888

1036 S Verity Pkwy
Middletown, OH 45044
Phone (513) 217-8900

10 N Locust St
Ste A
Oxford, OH 45056
Phone 5134541111 ext. 41111

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1205800489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGH ST FL 3",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450116078",
            "telephone_number": "513-454-1460",
            "fax_number": "740-289-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 NW WASHINGTON BLVD STE A",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136367",
            "telephone_number": "513-454-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450112811",
            "country_code": "US",
            "telephone_number": "513-454-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454054500",
            "country_code": "US",
            "telephone_number": "937-535-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1036 S Verity Pkwy",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450445513",
            "country_code": "US",
            "telephone_number": "513-454-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 N Locust St Ste A",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "OH",
            "postal_code": "450561182",
            "country_code": "US",
            "telephone_number": "513-454-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "LILLIAM",
        "middle_name": "I.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-062465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896580",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.