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CARLA MICHELLE SANTOS ORTIZ MD
NPI 1003503830
Internal Medicine in San Antonio, TX

Active since April 21, 2023PECOS Enrolled
16620 SAN PEDRO AVE STE 300, SAN ANTONIO, TX 78232(210) 871-4701(210) 688-4596 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carla Michelle Santos Ortiz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLA MICHELLE SANTOS ORTIZ MD (NPI 1003503830) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (W8092) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003503830
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCARLA MICHELLE SANTOS ORTIZCredential: MD
Location Address16620 SAN PEDRO AVE STE 300San Antonio, TX 78232-2679
Mailing Address16620 San Pedro Ave Ste 300San Antonio, TX 78232-2679 · Fax (210) 688-4596
Phone(210) 871-4701
Fax(210) 688-4596
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 21, 2023
Last NPPES UpdateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1003503830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · W8092
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16620 SAN PEDRO AVE STE 300, San Antonio, TX 78232
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carla Michelle Santos Ortiz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800354986
PECOS Enrollment IDI20260819000983
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carla Santos Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inpatient Progressive Health Of America, PLLC
0.2 mi
Hospitalist
16620 N US HIGHWAY 281 STE 300
San Antonio, TX 78232
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1417321076 (210) 871-4701

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSI ANDREWS MSN APRN AGACNP-BC
Nurse Practitioner
16620 SAN PEDRO AVE STE 300
SAN ANTONIO, TX 78232
Bexar County (210) 309-1405
IRA JOHN APRN
Nurse Practitioner (Acute Care)
16620 SAN PEDRO AVE STE 300
SAN ANTONIO, TX 78232
Bexar County (210) 309-1405
JOSE ADOLFO GONZALEZ VILLALBA M.D.
Internal Medicine
16620 SAN PEDRO AVE STE 300
SAN ANTONIO, TX 78232
Bexar County (210) 871-4701
JOANNE ELAINE SMITH AGPCNP-BC
Nurse Practitioner (Gerontology)
16620 SAN PEDRO AVE STE 300
SAN ANTONIO, TX 78232
Bexar County (210) 871-4701
BRYAN MICHAEL COONAN
Nurse Practitioner (Acute Care)
16620 SAN PEDRO AVE STE 300
SAN ANTONIO, TX 78232
Bexar County (210) 309-1407
DR. OLGA KARINA MORALES MD
Internal Medicine
16620 SAN PEDRO AVE STE 300
SAN ANTONIO, TX 78232
Bexar County (210) 871-4701
MONICA PATTON NP
Nurse Practitioner (Acute Care)
16620 SAN PEDRO AVE STE 300
SAN ANTONIO, TX 78232
Bexar County (210) 309-1405
DR. KRISTINE A BERNARDO MD
Internal Medicine
16620 SAN PEDRO AVE STE 300
SAN ANTONIO, TX 78232
Bexar County (210) 871-4701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carla Santos Ortiz's NPI number?

The NPI number for Carla Santos Ortiz is 1003503830. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Where is Carla Santos Ortiz located?

Carla Santos Ortiz practices at 16620 San Pedro Ave Ste 300, San Antonio, TX 78232. The listed phone number is (210) 871-4701.

What is Carla Santos Ortiz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carla Santos Ortiz enrolled in Medicare?

Yes. Carla Santos Ortiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carla Santos Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Santos Ortiz reassigns Medicare benefits to Inpatient Progressive Health Of America, PLLC (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carla Santos Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Santos Ortiz accept?

Health plans from Blue Cross and Blue Shield of Texas list Carla Santos Ortiz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carla Santos Ortiz was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.