Individual provider Active NPI

Orlando A Ortiz, MD

  • Diagnostic Radiology Physician
  • El Segundo, CA
National Provider Identifier
1629012224
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME161348 Issued in FL
Practice address
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone
(281) 766-0959
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 178399 NY
Nuclear Radiology Physician 2085N0904X 178399 NY
Diagnostic Radiology Physician 2085R0202X 178399 NY
Diagnostic Radiology Physician 2085R0202X ME161348 FL Primary

Addresses

Primary practice location

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Mailing address

PO Box 95000-5560
Philadelphia, PA 19195-5560
Phone (866) 388-2919

Other practice location 1

120 Mineola Blvd
Suite 10 Lower Level
Mineola, NY 11501-4064
Phone (516) 663-4510

Other identifiers 1

IdentifierTypeStateIssuer
01198489MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050225000672 NY Practitioner - Diagnostic Radiology 6901859255 Reassigns benefits to 4 organizations
I20230815004050 FL Practitioner - Diagnostic Radiology 6901859255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Harvard Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Tower Imaging LLCGroup PAC ID 2860470077, 95 clinicians

Practice addresses (Care Compare)

New Rochelle, NY 10805
Phone (904) 399-5550

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (904) 399-5550

10740 Palm River Rd
Suite 310
Tampa, FL 33619-4577
Phone (904) 399-5550

1301 W Kennedy Blvd
Tampa, FL 33606-1848
Phone (904) 399-5550

2 Tampa General Cir
Tampa, FL 33606-3571
Phone 81325327211937

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • Jacobi Medical Center Hospital, Bronx, NY, CCN 330127
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Imaging LLC Nuclear Radiology Current Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Nov 16, 2022 Accepting new patients
Tower Imaging LLC Nuclear Radiology CurrentSince Jul 1, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Nov 16, 2022 Accepting new patients
Mori Bean and Brooks Inc Body Imaging CurrentSince Apr 8, 2023 Accepting new patients
Empire State Radiology P C Diagnostic Radiology Past Accepting new patients

Locations

2330 Utah Ave
#200
El Segundo, CA 90245
Phone (281) 766-9059

3350 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 654-4883

427 S Parsons Ave
Ste 100
Brandon, FL 33511
Phone (813) 215-2080

17503 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 968-4540

5539 Marine Pkwy
New Pt Richey, FL 34652
Phone (727) 841-8225

3870 Tampa Rd
Oldsmar, FL 34677
Phone (352) 795-5628

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3862 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 642-9299

2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

17416 Brookside Trace Ct
Tampa, FL 33647
Phone (813) 660-6150

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 751-0422

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-1719

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

Networks

  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: oortiz845252@nychhc.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1629012224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-5560",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191955560",
            "telephone_number": "866-388-2919",
            "fax_number": "866-388-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "281-766-0959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Mineola Blvd",
            "address_2": "Suite 10 Lower Level",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115014064",
            "country_code": "US",
            "telephone_number": "516-663-4510",
            "fax_number": "516-663-3698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ORLANDO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "178399",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NY",
            "license": "178399",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "178399",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME161348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01198489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.