Karel Jill Ortiz, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD2005-0405 Issued in NM

Practice address

2220 Grande Blvd SE Ste B
Rio Rancho, NM 87124-1687

Phone

(505) 896-2900

Fax

(505) 938-4198

NPI assigned

Jun 2, 2006

Last updated

May 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Rio Grande Dermatology, PC

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1497910848
  Medicare reassignment NPD
• Center for Vein Restoration NM LLC

  • Cardiovascular Disease Physician
  • Rio Rancho, NM
  • NPI 1891342994
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1811935984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 GRANDE BLVD SE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241687",
            "telephone_number": "505-896-2900",
            "fax_number": "505-938-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GRANDE BLVD SE STE B",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241687",
            "telephone_number": "505-896-2900",
            "fax_number": "505-938-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "KAREL",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "MD2005-0405",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NM",
            "license": "MD2005-0405",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NM",
            "license": "MD2005-0405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlea Nicole Ortega
• Melanie Ortega, LMT
• Michelle Ortega, CSW
• Nicole Ortega, CNP
• Emily Grace Ortiz, CCC-SLP
• Amanda Patrice Otero, LMSW
• Banti Otero, RN
• Christopher Otero
• David Otto, LMSW
• Jean M. Overbay, RPH

• Dermatology Physician in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.