Individual provider Active NPI

Pedro Luis Ortega, MD

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1740251891
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME75974 Issued in FL
Practice address
3727 N Goldenrod Rd
Suite 106
Winter Park, FL 32792-8611
Phone
(407) 478-0028
Fax
(407) 476-0297
NPI assigned
Jan 27, 2006
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 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 ME75974 FL Primary

Addresses

Primary practice location

3727 N Goldenrod Rd
Suite 106
Winter Park, FL 32792-8611

Mailing address

3727 N Goldenrod Rd
Suite 106
Winter Park, FL 32792-8611
Phone (407) 478-0028

Other identifiers 1

IdentifierTypeStateIssuer
009320800MedicaidFL

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
I20050428000486 FL Practitioner - Internal Medicine 0345289476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1603 S Hiawassee Rd
Suite 115
Orlando, FL 32835-6437
Phone (407) 781-0088

3727 N Goldenrod Rd
Winter Park, FL 32792-8611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME75974FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro L. Ortega MD PA Internal Medicine CurrentSince Jun 24, 2014 Accepting new patients
Florida Medical Associates LLC PastSince Sep 11, 2023 Accepting new patients

Locations

12554 S John Young Pkwy
Ste 105
Orlando, FL 32837
Phone (407) 559-3800

1603 S Hiawassee Rd
Ste 115
Orlando, FL 32835
Phone (407) 299-6700

6150 Metrowest Blvd
Ste 205
Orlando, FL 32835
Phone (407) 781-0088

3727 N Goldenrod Rd
Winter Park, FL 32792
Phone (407) 671-0001

3727 N Goldenrod Rd
Ste 106
Winter Park, FL 32792
Phone (407) 478-0028

Organizations & group practices 2

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1740251891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 N GOLDENROD RD",
            "address_2": "SUITE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928611",
            "telephone_number": "407-478-0028",
            "fax_number": "407-476-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 N GOLDENROD RD",
            "address_2": "SUITE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928611",
            "telephone_number": "407-478-0028",
            "fax_number": "407-476-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "PEDRO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009320800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.