Active NPI
Ian Alexander Ortiz
- Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9114096
- Practice address
- 9975 Tavistock Lakes Blvd Ste 220
Orlando, FL 32827-7665 - Phone
- (844) 407-4070
- Fax
- (321) 248-4035
- NPI assigned
- Dec 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9114096 | FL | Primary |
| Physician Assistant | 363A00000X | PA14600 | TX | |
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 9114096 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgical Physician Assistant | 363AS0400X | PA9114096 | FL |
Addresses
Primary practice location
9975 Tavistock Lakes Blvd Ste 220
Orlando, FL 32827-7665
Mailing address
833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (484) 214-6604
Other practice location 1
410 Lionel Way Ste 201
Davenport, FL 33837-7809
Phone (844) 407-4070
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
13887 Narcoossee Rd
Suite 200
Orlando, FL 32832-7221
Phone (844) 407-4070
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570
631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.03 of 100
- Quality
- 77.92
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9114096 | FL | MD | Physician Assistant |
| PA9114096 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Rothman Orthopaedics of Florida,PLLC | Current | Accepting new patients |
Locations
410 Lionel Way
Ste 201
Davenport, FL 33837
Phone (863) 422-5331
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
9975 Tavistock Lakes Blvd
Ste 220
Orlando, FL 32827
Phone (407) 930-7800
255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333
833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Physician Assistant
-
- Orthopaedic Surgery Physician
- Orlando, FL
- NPI 1669086872
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Prosthetic/Orthotic Supplier
- Winter Park, FL
- NPI 1891371779
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1245827351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 520",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074430",
"telephone_number": "484-214-6604",
"fax_number": "267-479-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9975 TAVISTOCK LAKES BLVD STE 220",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277665",
"telephone_number": "844-407-4070",
"fax_number": "321-248-4035"
}
],
"practiceLocations": [
{
"address_1": "410 Lionel Way Ste 201",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "FL",
"postal_code": "338377809",
"country_code": "US",
"telephone_number": "844-407-4070",
"fax_number": "407-284-3917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ",
"first_name": "IAN",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9114096",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14600",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9114096",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9114096",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.