NPIMap

Individual provider Active NPI

Beverly Hannah Ortiz, M.D., F.A.C.O.G.,

  • Specialist
  • Riverhead, NY
National Provider Identifier
1639110802
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
199062 Issued in NY
Practice address
20 Riverleigh Ave
Suite 2B
Riverhead, NY 11901
Phone
(631) 298-4655
Fax
(631) 298-7569
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X ME85320 FL
Specialist 174400000X 199062 NY Primary

Addresses

Primary practice location

20 Riverleigh Ave
Suite 2B
Riverhead, NY 11901

Mailing address

PO Box 2407
Riverhead, NY 11901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071017000146 NY Practitioner - Gynecological Oncology 2769578152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Riverleigh Ave
Suite 2B
Riverhead, NY 11901-3674
Phone (631) 298-4655

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107

Merit-based Incentive Payment System (MIPS)

Final score
26.19 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199062NYMDSpecialist
ME85320FLMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Gynecologic Oncology PLLC Specialist CurrentSince Aug 22, 2007 Accepting new patients

Locations

20 Riverleigh Ave
Ste 2B
Riverhead, NY 11901
Phone (631) 298-4655

715 Roanoke Ave
Riverhead, NY 11901
Phone (631) 298-4655

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BADFAA/Endpoint/BADFAA
  • Direct secure messaging: bortiz67470@northwell.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1639110802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2407",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RIVERLEIGH AVE",
            "address_2": "SUITE 2B",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-298-4655",
            "fax_number": "631-298-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "BEVERLY",
        "middle_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.O.G.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME85320",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "199062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.