Active NPI
Angel Ortiz de Jesus, MD
- General Practice Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21189
- Practice address
- 708 E Colonial Dr Ste 200
Orlando, FL 32803-4652 - Phone
- (407) 895-9255
- NPI assigned
- Jan 22, 2019
- Last updated
- May 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21189 | PR | Primary |
Addresses
Primary practice location
708 E Colonial Dr Ste 200
Orlando, FL 32803-4652
Mailing address
308 W Bass St
Kissimmee, FL 34741-5001
Phone (407) 483-8801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
308 W Bass St
Kissimmee, FL 34741-5001
Phone (407) 933-1760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21189 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Healthcare Associates, Inc | Current | Accepting new patients | |
| Integrate Community Health System | Current | Accepting new patients | |
| Sur-Med Medical Corp | Current | Accepting new patients | |
| Integrate Community Health System | Current | Accepting new patients | |
| Integrate Community Health System, Inc. | Current | Accepting new patients | |
| Sur-Med Medical Corp. | Current | Accepting new patients |
Locations
308 W Bass St
Kissimmee, FL 34741
Phone (407) 483-8801
8 Calle Colon Pacheco
Salinas, PR 00751
Phone (787) 824-1100
Organizations & group practices 6
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.
-
- Specialist
- Kissimmee, FL
- NPI 1063544963
-
dba Metro Pavia Clinic Humacao
- Community Health Clinic/Center
- Humacao, PR
- NPI 1467674713
-
- Multi-Specialty Clinic/Center
- Salinas, PR
- NPI 1366425050
-
dba Metro Pavia Clinic Aguadilla - Emergency Room
- Emergency Care Clinic/Center
- Aguadilla, PR
- NPI 1255855201
-
dba Metro Pavia Clinic Aguadilla - Lab
- Clinical Medical Laboratory
- Aguadilla, PR
- NPI 1821502519
-
- Clinical Medical Laboratory
- Salinas, PR
- NPI 1972594836
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1881158061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 W BASS ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415001",
"telephone_number": "407-483-8801",
"fax_number": "407-483-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 E COLONIAL DR STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034652",
"telephone_number": "407-895-9255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ DE JESUS",
"first_name": "ANGEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "21189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.