Individual provider Active NPI

Raynaldo Rivera Ortiz Jr., MD

  • Anesthesiology Physician
  • Garland, TX
National Provider Identifier
1467549873
Registry record updated May 6, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(2) exclusion effective Jun 19, 2025.
  • Section 1128b(4) exclusion effective Mar 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H9000 Issued in TX
Practice address
700 Walter Reed Blvd
Suite 305
Garland, TX 75042-3701
Phone
(972) 276-6100
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H9000 TX Primary

Addresses

Primary practice location

700 Walter Reed Blvd
Suite 305
Garland, TX 75042-3701

Mailing address

1721 Analog Dr
Richardson, TX 75081-1944
Phone (972) 276-6100

Other identifiers 1

IdentifierTypeStateIssuer
133668710MedicaidTX

Other names 1

  • Dr. Ray Ortiz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Garland Anesthesia CurrentSince Jan 5, 2020 Accepting new patients
Parkhill Physician Group, PLLC Past Accepting new patients
Vincent Young, M.D., P.a. Past Accepting new patients
Mesquite Professional Anesthesia, PA Anesthesiology Past Accepting new patients

Locations

700 Walter Reed Blvd
Ste 305
Garland, TX 75042
Phone 9722766100223

1721 Analog Dr
Richardson, TX 75081

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1467549873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ANALOG DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811944",
            "telephone_number": "972-276-6100",
            "fax_number": "972-276-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WALTER REED BLVD",
            "address_2": "SUITE 305",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750423701",
            "telephone_number": "972-276-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "RAYNALDO",
        "middle_name": "RIVERA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "H9000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133668710",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "ORTIZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.