Individual provider Active NPI

Ian Alexander Ortiz

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1245827351
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114096 Issued in FL
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

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230103000565 FL Practitioner - Physician Assistant 4183013535 Reassigns benefits to 2 organizations

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, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

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 100Reported as group
Quality
77.92
Promoting interoperability
99
Improvement activities
40
Cost
79.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9114096FLMDPhysician Assistant
PA9114096FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Mar 1, 2025 Accepting new patients
Rothman Orthopaedics of Florida,PLLC CurrentSince Jan 9, 2023 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.