Krystl George Ortiz, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

67497 Issued in CT

Practice address

1481 McDonald Ave
Brooklyn, NY 11230-4667

Phone

(929) 491-7700

NPI assigned

Apr 26, 2012

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Krystl S George Former name

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

General Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Wound Care LLCGroup PAC ID 8729445580, 8 clinicians

WCG CT PLLCGroup PAC ID 8628547577, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Complete Wound Care LLC

  • General Practice Physician
  • Wallingford, CT
  • NPI 1033801568

  Single Specialty

  Medicare reassignment Care Compare group NPD
• WCG CT PLLC

  • Internal Medicine Physician
  • Glastonbury, CT
  • NPI 1033058987
  Medicare reassignment Care Compare group
• Integrated Wound Care Connecticut PLLC

  • General Practice Physician
  • Southport, CT
  • NPI 1649778762

  Single Specialty

  Medicare reassignment NPD
• Renew Wound Care of Connecticut PLLC

  • Internal Medicine Physician
  • Bristol, CT
  • NPI 1992492854

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1750649810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MAIN ST STE 23",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064576820",
            "telephone_number": "318-617-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304667",
            "telephone_number": "929-491-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "KRYSTL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "67497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTL",
            "last_name": "GEORGE",
            "middle_name": "S",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jahmar Ortiz
• Jenniffer Castillo Ortiz, LMHC
• Jose A Ortiz Jr., M.A, CCC-SLP
• Juan Ortiz
• Keira Ortiz
• Lisa Maria Ortiz, NP
• Luis Dario Ortiz, M.S.ED
• Maria Y Ortiz, LCSW
• Mariela C Ortiz, LMSW
• Martin M Ortiz, ASAC

• General Practice Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.