Individual provider Active NPI

Raymond F. Ortiz, MD

  • Internal Medicine Physician
  • Las Vegas, NM
National Provider Identifier
1497708754
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
85-77 Issued in NM
Practice address
2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone
(505) 426-8010
Fax
(505) 454-0322
NPI assigned
May 18, 2006
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 85-77 NM Primary

Addresses

Primary practice location

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972

Mailing address

2515 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone (505) 425-2662

Other identifiers 1

IdentifierTypeStateIssuer
T9915MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20050419001420 NM Practitioner - Internal Medicine 8325086408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New Mexico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 Legion Dr
Suite a
Las Vegas, NM 87701-4898
Phone (505) 425-2662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85-77NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
San Miguel Clinic Corp CurrentSince Oct 4, 2016 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
San Miguel Hospital Corporation CurrentSince Jan 1, 2019 Accepting new patients
Clovis Cardiology Associates LLC PastSince Dec 28, 2022 Accepting new patients
Clovis Family Health Care Center LLC PastSince Jun 21, 2022 Accepting new patients

Locations

2000 W 21st St
Ste E1
Clovis, NM 88101
Phone (505) 763-0680

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

108 Legion Dr
Ste A
Las Vegas, NM 87701
Phone (505) 425-2662

108 Legion Dr
Ste D
Las Vegas, NM 87701
Phone (505) 425-3569

1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751

2515 Ridge Runner Rd
Las Vegas, NM 87701
Phone (505) 425-2662

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABADAA
  • Direct secure messaging: raymond.ortiz.4@1592.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Anthony Healthcare and Rehabilitation CenterClovis, NM, CCN 325076 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2024
Feb 21, 2025
Clovis Healthcare and Rehabilitation CenterClovis, NM, CCN 325077 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2024
Feb 16, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1497708754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014972",
            "telephone_number": "505-425-2662",
            "fax_number": "505-425-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 RIDGE RUNNER RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014972",
            "telephone_number": "505-426-8010",
            "fax_number": "505-454-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "RAYMOND",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "85-77",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T9915",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.