Active NPI
Leslie Ortiz, MD
- General Practice Physician
- Haines City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN778
- Practice address
- 608 Ingraham Ave
Haines City, FL 33844-4330 - Phone
- (863) 422-9562
- Fax
- (863) 421-3246
- NPI assigned
- Apr 6, 2007
- Last updated
- Jan 27, 2023
- 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 | ACN778 | FL | Primary |
Addresses
Primary practice location
608 Ingraham Ave
Haines City, FL 33844-4330
Mailing address
PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
608 Ingraham Ave
Haines City, FL 33844-4330
Phone (863) 422-9562
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN778 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Consultants of Florida, LLC | General Practice | Current | Accepting new patients |
| Xpress Urgent Care, LLC. | General Practice | Current | Accepting new patients |
| Medical Home Alliance LLC | Past | Accepting new patients | |
| Emergenciologos Para Puerto Rico,CSP | Past | Accepting new patients | |
| Patient Medical Center of Florida Inc | General Practice | Past | Accepting new patients |
Locations
175 Patterson Rd
Haines City, FL 33844
Phone (863) 358-4849
608 Ingraham Ave
Haines City, FL 33844
Phone (863) 422-9562
819 N Central Ave
Kissimmee, FL 34741
Phone (407) 288-8242
672 SW Prima Vista Blvd
Ste 101
Port St Lucie, FL 34983
Phone (772) 905-2555
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
dba MedFlorida Medical Center
- Internal Medicine Physician
- Deerfield Beach, FL
- NPI 1619169810
General Practice
-
- Urgent Care Clinic/Center
- Port St Lucie, FL
- NPI 1841566395
General Practice
-
dba IMA Winter Haven Dispensary
- Non-Pharmacy Dispensing Site
- Winter Haven, FL
- NPI 1033648233
-
- Family Medicine Physician
- Kissimmee, FL
- NPI 1891206504
General Practice
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bayamon, PR
- NPI 1346466836
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": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1992827000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4189",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334424189",
"telephone_number": "954-363-9582",
"fax_number": "954-363-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 INGRAHAM AVE",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338444330",
"telephone_number": "863-422-9562",
"fax_number": "863-421-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "LESLIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.