Active NPI
Marcus Ortiz, CAA
- Anesthesiologist Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 75000174A
- Practice address
- 1 Shircliff Way
Jacksonville, FL 32204-4748 - Phone
- (904) 308-7300
- NPI assigned
- Oct 4, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 75000174A | IN | Primary |
| Anesthesiologist Assistant | 367H00000X | AA410 | FL |
Addresses
Primary practice location
1 Shircliff Way
Jacksonville, FL 32204-4748
Mailing address
11763 Mandarin Forest Dr
Jacksonville, FL 32223-1792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
Hospital & facility affiliations
- Adventhealth Orlando
- Viera Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Orlando Anesthesia Consultants PA | Anesthesiology | Current | Accepting new patients |
| Associated Anesthesiologists of Fort Wayne PC | Anesthesiology | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Current | Accepting new patients |
Locations
1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
4023 Reas Ln
New Albany, IN 47150
Phone (502) 690-6425
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Anesthesiology Physician
- Ocoee, FL
- NPI 1184661696
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
-
- Vascular & Interventional Radiology Physician
- Melbourne, FL
- NPI 1124691159
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1154993558
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 3
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
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1396255378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11763 MANDARIN FOREST DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748",
"telephone_number": "904-308-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "MARCUS",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-04",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "IN",
"license": "75000174A",
"primary": true
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA410",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.