Individual provider Active NPI

Alexander Ortiz, MD

  • Emergency Medicine Physician
  • Dover, NH
National Provider Identifier
1457511297
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15260 Issued in NH
Practice address
789 Central Ave
Emergency Dept
Dover, NH 03820-2526
Phone
(631) 444-2754
Fax
(631) 444-6031
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15260 NH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

789 Central Ave
Emergency Dept
Dover, NH 03820-2526

Mailing address

PO Box 845398
Boston, MA 02284-5398
Phone (603) 742-5252

Other identifiers 2

IdentifierTypeStateIssuer
P00979653OtherNHRRMCARE THRU SCEP
32000704MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20110728000223 NH Practitioner - Emergency Medicine 5092983577 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15260NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Emergency Physicians PC Emergency Medicine CurrentSince Jul 1, 2011 Accepting new patients
Ocumed LLC Emergency Medicine CurrentSince Sep 2, 2024 Accepting new patients
Seacoast Emergency Physicians, PC CurrentSince Jul 1, 2011 Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

65 Calef Hwy
Lee, NH 03861
Phone (603) 740-2250

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1457511297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845398",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022845398",
            "telephone_number": "603-742-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "address_2": "EMERGENCY DEPT",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "631-444-2754",
            "fax_number": "631-444-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "15260",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU SCEP",
            "identifier": "P00979653",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32000704",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.