Juan Antonio Ortiz, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

2011-00555 Issued in NC

Practice address

3319 Heritage Trade Dr Ste 201
Wake Forest, NC 27587-1002

Phone

(919) 532-2270

Fax

(919) 230-9140

NPI assigned

Nov 14, 2006

Last updated

May 28, 2026By 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

Other names 1

• Juan Antonio Ortiz Perez Other name

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• North Raleigh Plastic Surgery, PA

  • Plastic Surgery Physician
  • Raleigh, NC
  • NPI 1457983116
  Authorized official Same address or phone

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1225100308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 HERITAGE TRADE DR STE 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871002",
            "telephone_number": "919-532-2270",
            "fax_number": "919-230-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 HERITAGE TRADE DR STE 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871002",
            "telephone_number": "919-532-2270",
            "fax_number": "919-230-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "2011-00555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUAN",
            "last_name": "ORTIZ PEREZ",
            "middle_name": "ANTONIO",
            "credential": "M.D. FACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jerusalyn Amyah-Faith Overbey
• Rachel Overcash, LCSW

• Plastic and Reconstructive Surgery Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Plastic and Reconstructive Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.