Carlos A Ortiz II, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA08263500 Issued in NJ

Practice address

30 Prospect Ave
Emergency Medicine
Hackensack, NJ 07601-1914

Phone

(201) 996-4614

NPI assigned

Jun 20, 2007

Last updated

Oct 19, 2021By 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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ, MT2 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

Emergency Medicine

Education

University of Texas Medical Branch at Galveston, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148
• Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northwest HBP Medical Services LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1407353006
  Medicare reassignment Care Compare group NPD
• Arizona Emergency Medicine Specialists PC

  • Emergency Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1134439706
  Medicare reassignment NPD
• Bozeman Health Deaconess Hospital

  • Family Medicine Physician
  • Bozeman, MT
  • NPI 1619347390
  Medicare reassignment NPD
• Emergency Physicians Southwest, PC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1912053752
  Medicare reassignment NPD
• Progressive Medical Associates PLLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1548218613
  Medicare reassignment NPD
• Bozeman Health Big Sky Medical Center, LLC

  dba Bozeman Health Big Sky Medical Center

  • Critical Access Hospital
  • Big Sky, MT
  • NPI 1588141048
  Medicare reassignment
• Bozeman Health Deaconess Hospital

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
  • NPI 1013733955
  NPD
• Yampa Valley Medical Center

  • General Acute Care Hospital
  • Steamboat Springs, CO
  • NPI 1790787307
  NPD
• Yampa Valley Medical Center

  • Pharmacy
  • Steamboat Springs, CO
  • NPI 1861814097
  NPD
• Alegent Creighton Health

  dba Alegent Creighton Health Bergan ED Services

  • Emergency Medicine Physician
  • Omaha, NE
  • NPI 1629343041
  NPD (past)
• Oklahoma Emergency Services PC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1114239795
  NPD (past)
• Yampa Valley Medical Center

  dba UCHealth Yampa Valley Medical Center

  • Multi-Specialty Clinic/Center
  • Steamboat Springs, CO
  • NPI 1295177426
  NPD (past)

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

• Havasu Regional Medical Center LLC

  dba Havasu Regional Medical Center

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866
  Care Compare affiliation
• Northwest Sahuarita Hospital LLC

  dba Northwest Medical Center Sahuarita

  • General Acute Care Hospital
  • Sahuarita, AZ
  • NPI 1851927669
  Care Compare affiliation

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1306041116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "address_2": "EMERGENCY MEDICINE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "address_2": "EMERGENCY MEDICINE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA08263500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306041116",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cortiz17248589@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Big Sky Medical Center, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "334 Town Center Avenue",
            "city": "Big Sky",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia Anne Orosy-Fildes, PH.D.
• David A Orr, DO
• Orthopedic Specialist of New Jersey PA
• Orthospine Rehab PC
• Ortis Home Health Care Inc
• Christian Ortiz
• Jessica Ortiz
• Vanessa Ortiz, MD
• Shea Oryniak
• Bruce Osei-Frimpong, MD

• Emergency Medicine Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.