EDGARDO RAFAEL ORTIZ FLORES M.D.
NPI 1184933996
Internal Medicine - Hematology & Oncology in Brunswick, ME
About Edgardo Rafael Ortiz Flores M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGARDO RAFAEL ORTIZ FLORES M.D. (NPI 1184933996) is an individual hematology & oncology provider in Brunswick, Maine, licensed in Maine (28108) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edgardo Rafael Ortiz Flores M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edgardo Ortiz Flores reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Metrohealth System
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Edgardo Ortiz Flores's NPI number?
The NPI number for Edgardo Ortiz Flores is 1184933996. It was assigned to this individual provider in the NPPES registry on September 28, 2010.
Where is Edgardo Ortiz Flores located?
Edgardo Ortiz Flores practices at 329 Maine St # E101, Brunswick, ME 04011. The listed phone number is (207) 373-2266.
What is Edgardo Ortiz Flores's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Edgardo Ortiz Flores enrolled in Medicare?
Yes. Edgardo Ortiz Flores 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.
Which organizations bill Medicare for Edgardo Ortiz Flores's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edgardo Ortiz Flores reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of Washington (Everett, WA) and Southern California Permanente Medical Group (Lancaster, CA). Each 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 Edgardo Ortiz Flores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edgardo Ortiz Flores accept?
Health plans from CareSource and MedMutual list Edgardo Ortiz Flores 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 Edgardo Ortiz Flores affiliated with any hospitals?
According to CMS data, Edgardo Ortiz Flores is affiliated with Metrohealth System.
When was this NPI record last updated?
The NPPES record for Edgardo Ortiz Flores was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Edgardo Rafael Ortiz Flores, M.D. · NPI 1184933996
Hematology & Oncology physician in Brunswick, Maine. Individual provider, active in the CMS NPPES registry since September 28, 2010.
## Identity
- **NPI:** 1184933996 (Entity type: Individual)
- **Enumerated:** September 28, 2010
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **State license:** 28108 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 329 MAINE ST # E101, Brunswick, ME 04011-3310
- **Phone:** (207) 373-2266
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of Washington (NPI 1386935351, Everett, WA); Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** May 29, 2025
- **Other identifiers:** Other 12779-I (PR); Other 4554906 (PR)
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Source: [NPI Profile](https://npiprofile.com/npi/1184933996) · Data from the CMS NPPES public registry.