Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARIA TERESA ORTIZ FULLANA MD
NPI 1063048874
Obstetrics & Gynecology in Jacksonville, FL

Q: What is Maria Ortiz Fullana's NPI number?

The NPI number for Maria Ortiz Fullana is 1063048874. It was assigned to this individual provider in the NPPES registry on March 13, 2020.

Q: What is Maria Ortiz Fullana's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since March 13, 2020PECOS Enrolled

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 13, 2026, May 16, 2026, Nov 17, 2021 and 2 more (5 updates tracked since 2020).

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About Dr. Maria Teresa Ortiz Fullana Md NPPES

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

DR. MARIA TERESA ORTIZ FULLANA MD (NPI 1063048874) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME183167) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063048874

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MARIA TERESA ORTIZ FULLANACredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateMarch 13, 2020

Last NPPES UpdateJuly 13, 20265 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1063048874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME183167

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maria Teresa Ortiz Fullana Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 20

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

KATHERINE L WALSH PA-C/MPH

Physician Assistant