NORTH CENTRAL UROLOGY PA
NPI 1174703623
Urology in Colleyville, TX
About North Central Urology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH CENTRAL UROLOGY PA (NPI 1174703623), doing business as Dennis L Ortiz Do Pa, is a healthcare organization registered as an urology in Colleyville, Texas and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through July 19, 2028 and lists J Novitski, Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 9
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Central Urology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to North Central Urology PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0950633
North Central Urology, PA · Colleyville, TXFrequently 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 North Central Urology PA's NPI number?
The NPI number for North Central Urology PA is 1174703623. It was assigned to this organization in the NPPES registry on November 13, 2007. The provider was formerly known as Dennis L Ortiz Do PA.
Where is North Central Urology PA located?
North Central Urology PA is located at 4218 Gateway Drive Suite 100, Colleyville, TX 76034. The listed phone number is (817) 283-1860.
What is North Central Urology PA's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is North Central Urology PA enrolled in Medicare?
Yes. North Central Urology PA is registered in the Medicare PECOS enrollment system.
When is North Central Urology PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through North Central Urology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to North Central Urology PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does North Central Urology PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0950633) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for North Central Urology PA was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# North Central Urology Pa · NPI 1174703623
Urology organization in Colleyville, Texas. Organization record, active in the CMS NPPES registry since November 13, 2007.
## Identity
- **NPI:** 1174703623 (Entity type: Organization)
- **Enumerated:** November 13, 2007
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** J Novitski, BUSINESS MANAGER
## Practice location
- **Address:** 4218 GATEWAY DRIVE, SUITE 100, Colleyville, TX 76034
- **Phone:** (817) 283-1860 · **Fax:** (817) 283-2175
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Urology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2012
- **Other identifiers:** Other P00153491; Medicare UPIN A67467; Medicare PIN 00955W; and 6 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1174703623) · Data from the CMS NPPES public registry.