Individual provider Active NPI

Carolina Young Ortiz, MD

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1588848386
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7377 Issued in TX
Practice address
2590 Golden Gate Pkwy Ste 104
Naples, FL 34105-3209
Phone
(239) 333-8809
NPI assigned
Dec 28, 2007
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME117731 FL
Family Medicine Physician 207Q00000X 290973-01 NY
Family Medicine Physician 207Q00000X 148865 CA
Family Medicine Physician 207Q00000X MD61096651 WA
Family Medicine Physician 207Q00000X MD459430 PA
Family Medicine Physician 207Q00000X 0101270807 VA
Family Medicine Physician 207Q00000X N7377 TX Primary

Addresses

Primary practice location

2590 Golden Gate Pkwy Ste 104
Naples, FL 34105-3209

Mailing address

2590 Golden Gate Parkway
Suite 104
Naples, FL 34105
Phone (230) 333-8809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161026000970 FL Order and Referring Only - Family PracticePractitioner - Family Practice 9537358676

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117731FLMDSpecialist
148865CAMDFamily Medicine Physician
290973-01NYMDFamily Medicine Physician
MD459430PAMDFamily Medicine Physician
N7377TXMDFamily Medicine Physician
0101270807VAMDFamily Medicine Physician
MD61096651WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Pines Vamc PastSince Feb 27, 2022 Accepting new patients

Organizations & group practices 1

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1588848386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 GOLDEN GATE PARKWAY",
            "address_2": "SUITE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34105",
            "telephone_number": "230-333-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 GOLDEN GATE PKWY STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341053209",
            "telephone_number": "239-333-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG ORTIZ",
        "first_name": "CAROLINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME117731",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "290973-01",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "148865",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61096651",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD459430",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101270807",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.