Individual provider Active NPI

Leroy Raul Ortiz, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1366654394
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40669 Issued in AZ
Practice address
9225 N 3Rd St
Suite 300
Phoenix, AZ 85020-2439
Phone
(602) 445-0751
Fax
(602) 424-8128
NPI assigned
May 3, 2007
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40669 AZ Primary

Addresses

Primary practice location

9225 N 3Rd St
Suite 300
Phoenix, AZ 85020-2439

Mailing address

9225 N 3Rd St
Suite 300
Phoenix, AZ 85020-2439
Phone (602) 445-0751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20080828000123 AZ Practitioner - Internal Medicine 9234205204 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jun 1, 2020 Accepting new patients
Affiliated Hospitalists, PLC Internal Medicine CurrentSince Aug 1, 2008 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 1, 2020 Accepting new patients

Locations

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

2500 W Utopia Rd
Ste 100CVO
Phoenix, AZ 85027
Phone (202) 294-0298

9202 N 2nd St
Phoenix, AZ 85020
Phone (480) 583-0500

9225 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 870-1821

9327 N 3rd St
Ste 206
Phoenix, AZ 85020
Phone (602) 944-4626

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7351 E Osborn Rd
Ste 200B
Scottsdale, AZ 85251
Phone (480) 882-5730

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1366654394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202439",
            "telephone_number": "602-445-0751",
            "fax_number": "602-424-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 N 3RD ST",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202439",
            "telephone_number": "602-445-0751",
            "fax_number": "602-424-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "LEROY",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "40669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.