Victor-Mauricio Ordaz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30378 Issued in MS

Practice address

15200 Community Rd
Gulfport, MS 39503-3085

Phone

(228) 575-7112

Fax

(228) 575-7190

NPI assigned

Apr 3, 2019

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

Medicare fee-for-service enrollment

Enrolled in FL, MO2 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 2

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cole Physician Services LLCGroup PAC ID 0648420810, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St. Mary's Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vordaz529795@direct-ehr-ssmhc.com

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.

• Cole Physician Services LLC

  • Hospitalist Physician
  • Jefferson City, MO
  • NPI 1144578659
  Medicare reassignment Care Compare group NPD
• Hospital Physician Services of Florida PA

  • Hospitalist Physician
  • Pensacola, FL
  • NPI 1558718635

  Internal Medicine

  Medicare reassignment NPD
• SSM Regional Health Services

  dba SSM Health St. Mary's Hospital Jefferson City

  • General Acute Care Hospital
  • Jefferson City, MO
  • NPI 1518065523
  NPD (past)

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

• SSM Regional Health Services

  dba SSM Health St. Mary's Hospital Jefferson City

  • General Acute Care Hospital
  • Jefferson City, MO
  • NPI 1518065523
  Care Compare affiliation

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1255893756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-7576",
            "fax_number": "228-497-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 COMMUNITY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033085",
            "telephone_number": "228-575-7112",
            "fax_number": "228-575-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDAZ",
        "first_name": "VICTOR-MAURICIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "30378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open MRI, LLC
• Open MRI. LLC
• Optum Behavioral Care of North Carolina, P.C.
• Orange Grove Medical Specialties, P.a.
• Orange Grove Urgent Care
• Orofacial Pain, PLLC (Remedy Clinic)
• Joann Orphanos, DPM
• Alicia Ory, CPSS
• Ostrowski Pediatric Care PNP PLLC
• Angela K Ostrowski, CPNP-PC

• Internal Medicine Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.

Verify at the official NPI Registry.