DR. VIOLA ORTIZ M.D.
NPI 1235104282
Specialist in Staten Island, NY

Q: What is Viola Ortiz's NPI number?

The NPI number for Viola Ortiz is 1235104282. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Viola Ortiz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Viola Ortiz was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 22, 2006PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

3589 HYLAN BLVD, STATEN ISLAND, NY 10308(718) 966-3700(718) 966-0433 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Viola Ortiz M.d. NPPES

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

DR. VIOLA ORTIZ M.D. (NPI 1235104282) is an individual specialist in Staten Island, New York, licensed in New York (164269) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of State University Of New York Downstate Medical Center (1984).

NPPES Registry Identity

NPI1235104282

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. VIOLA ORTIZCredential: M.D.

Location Address3589 HYLAN BLVDStaten Island, NY 10308-3513

Mailing Address3589 Hylan BlvdStaten Island, NY 10308-3513 · (718) 966-3700 · Fax (718) 966-0433

Phone(718) 966-3700

Fax(718) 966-0433

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 1984

Enumeration DateFebruary 22, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1235104282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 164269

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3589 HYLAN BLVD, Staten Island, NY 10308

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Other Identifiers 1

Medicaid01074088NY

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

Dr. Viola Ortiz 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.

PECOS PAC ID1759307515

PECOS Enrollment IDI20051020000686

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 Reassignments

Medicare enrollment records show Viola Ortiz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Of University Hospital PC

3.2 mi

Allergy & Immunology

1042 HUGUENOT AVE
Staten Island, NY 10312

Reassigned Medicare billing, New York enrollment
530 clinicians in this Medicare group

NPI 1013368224 (718) 317-7556

New York University

1,023 mi

Cardiovascular Disease

3301 QUANTUM BLVD
Boynton Beach, FL 33426

Reassigned Medicare billing, New York enrollment
7,712 clinicians in this Medicare group

NPI 1285826438 (877) 648-2964

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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

582 services312 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

236 services29 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

232 services232 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

227 services227 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

146 services146 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

108 services22 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

43 services42 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

27 services27 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services23 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

25 services25 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

15 services13 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330160

Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

94%481 patients5/55-star benchmark: 93%

Colorectal Cancer Screening

67%737 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

80%491 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

21%139 patients4/55-star benchmark: 91%

e-Prescribing

100%6,262 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

64%1,102 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

41%1,030 patients3/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

100%1,278 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers26 claims60 services$4.88 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$8.52 avg. paid by Medicare

Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$13.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SOUTH SHORE PHYSICIANS, P.C.

Internal Medicine

3589 HYLAN BLVD
STATEN ISLAND, NY 10308

Richmond County (718) 966-3700

DR. JOSEPH MARCHISELLA D.O.

Internal Medicine (Geriatric Medicine)

3589 HYLAN BLVD
STATEN ISLAND, NY 10308

Richmond County (718) 966-3700

DR. PAUL CARMINE GAZZARA M.D.

Internal Medicine (Addiction Medicine)

3589 HYLAN BLVD
STATEN ISLAND, NY 10308

Richmond County (718) 966-3700

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 Viola Ortiz's NPI number?

The NPI number for Viola Ortiz is 1235104282. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Viola Ortiz located?

Viola Ortiz practices at 3589 Hylan Blvd, Staten Island, NY 10308. The listed phone number is (718) 966-3700.

What is Viola Ortiz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Viola Ortiz enrolled in Medicare?

Yes. Viola Ortiz 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 Viola Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Viola Ortiz reassigns Medicare benefits to 2 organizations: Physicians Of University Hospital PC (Staten Island, NY) and New York University (Boynton Beach, FL). 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 Viola Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Viola Ortiz affiliated with any hospitals?

According to CMS data, Viola Ortiz is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Viola Ortiz was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.