DR. CARLOS DORTA MD
NPI 1063807170
Internal Medicine - Critical Care Medicine in Atlantis, FL

Q: What is Carlos Dorta's NPI number?

The NPI number for Carlos Dorta is 1063807170. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Q: What is Carlos Dorta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Dorta was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment

5301 S CONGRESS AVE, ATLANTIS, FL 33462(615) 372-8900 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2020, Jun 30, 2018, Jun 22, 2018 (3 updates tracked since 2018).

On this page

About Dr. Carlos Dorta Md NPPES

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

DR. CARLOS DORTA MD (NPI 1063807170) is an individual critical care medicine provider in Atlantis, Florida, licensed in Florida (ME146647) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Delray Medical Center, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1063807170

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. CARLOS DORTACredential: MD

Location Address5301 S CONGRESS AVEAtlantis, FL 33462-1149

Mailing Address3320 Brinely PlRoyal Palm Beach, FL 33411-8315

Phone(615) 372-8900

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateApril 6, 2015

Last NPPES UpdateAugust 14, 20203 updates tracked since enumeration

NPPES CertifiedAugust 14, 2020

✔ NPI 1063807170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in FL · ME146647

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5301 S CONGRESS AVE, Atlantis, FL 33462

Open in Google Maps ↗

Secondary Practice Location 1

Location 1625 S New Ballas RdSaint Louis, MO 63141 · Phone (314) 251-6486

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos Dorta Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618225483

PECOS Enrollment IDI20200811003202

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

216 services124 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100258

Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County

Emergency services

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100275

Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County

Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100287

Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County

Emergency services Birthing friendly

St Mary's Medical Center

Acute Care Hospitals · West Palm Beach, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100288

Location901 45th StWest Palm Beach, FL 33407 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33462 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 20

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

JOSEPH J CATALINA CRNA

Nurse Anesthetist, Certified Registered

5301 S CONGRESS AVE
ATLANTIS, FL 33462

Palm Beach County (561) 965-7300

JERRY M CAJINA DO

Emergency Medicine

5301 S CONGRESS AVE
ATLANTIS, FL 33462

Palm Beach County (954) 838-2588

VICTORIA LORD MD

Student in an Organized Health Care Education/Training Program

5301 S CONGRESS AVE, 3 SOUTH
ATLANTIS, FL 33462

Palm Beach County (561) 548-1711

ABDULKADIR KIRIS

Student in an Organized Health Care Education/Training Program

5301 S CONGRESS AVE
ATLANTIS, FL 33462

Palm Beach County (561) 913-5740

MICHAEL J COHEN MD

Radiology (Diagnostic Radiology)

5301 S CONGRESS AVE
ATLANTIS, FL 33462

Palm Beach County (561) 548-3727

SUSAN HANSON-LEAL MD

General Acute Care Hospital

5301 S CONGRESS AVE
ATLANTIS, FL 33462

Palm Beach County (561) 548-1750

JOHN FRANCISCO MARTINEZ JIMENEZ MD

Student in an Organized Health Care Education/Training Program

5301 S CONGRESS AVE
ATLANTIS, FL 33462

Palm Beach County (561) 850-6366

ARIELLE WASHINGTON M.D., M.B.A.

Student in an Organized Health Care Education/Training Program

5301 S CONGRESS AVE
ATLANTIS, FL 33462

Palm Beach County (561) 850-6366

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 Carlos Dorta's NPI number?

The NPI number for Carlos Dorta is 1063807170. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Carlos Dorta located?

Carlos Dorta practices at 5301 S Congress Ave, Atlantis, FL 33462. The listed phone number is (615) 372-8900.

What is Carlos Dorta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Carlos Dorta enrolled in Medicare?

Yes. Carlos Dorta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carlos Dorta accept?

Health plans from Oscar Health Maintenance Organization of Florida list Carlos Dorta 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.

Is Carlos Dorta affiliated with any hospitals?

According to CMS data, Carlos Dorta is affiliated with Delray Medical Center, Wellington Regional Medical Center, Good Samaritan Medical Center and St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Dorta was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.