DR. MYRIAM C VELA-ORTIZ M.D.
NPI 1306187570
Internal Medicine - Nephrology in Carrollton, GA

Active since March 12, 2013PECOS EnrolledAccepts Medicare Assignment
157 CLINIC AVE STE 203, CARROLLTON, GA 30117(770) 832-0429(770) 838-9108 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2020, Jun 17, 2019, Jul 5, 2018 and 1 more (4 updates tracked since 2015).

About Dr. Myriam C Vela-ortiz M.d. NPPES

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

DR. MYRIAM C VELA-ORTIZ M.D. (NPI 1306187570) is an individual nephrology provider in Carrollton, Georgia, licensed in Georgia (080127) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306187570
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MYRIAM C VELA-ORTIZCredential: M.D.
Location Address157 CLINIC AVE STE 203Carrollton, GA 30117
Mailing Address157 Clinic Ave Ste 203Carrollton, GA 30117-4454 · (770) 832-0429 · Fax (770) 838-9108
Fax(770) 838-9108
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 12, 2013
Last NPPES UpdateJune 12, 20204 updates tracked since enumeration
NPPES CertifiedJune 12, 2020
NPI 1306187570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in GA · 080127
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT203196 (PA)
157 CLINIC AVE STE 203, Carrollton, GA 30117

Accepted 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. Myriam C Vela-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 ID8729389440
PECOS Enrollment IDI20200629001163
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 25

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.
395 services230 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
164 services58 patients
Kidney function blood test panel 80069
A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
162 services96 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.
141 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
136 services51 patients
Total protein level, urine 84156
The Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.
133 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers12 claims3,240 services$1.03 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers28 claims2,475 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers21 claims4,200 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers45 claims45 services$17.59 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers21 claims21 services$12.07 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 5

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

Internal Medicine (Nephrology)
157 CLINIC AVE STE 203
CARROLLTON, GA 30117
Nurse Practitioner (Acute Care)
157 CLINIC AVE STE 203
CARROLLTON, GA 30117
Internal Medicine (Nephrology)
157 CLINIC AVE STE 203
CARROLLTON, GA 30117
Internal Medicine (Nephrology)
157 CLINIC AVE STE 203
CARROLLTON, GA 30117
Internal Medicine (Nephrology)
157 CLINIC AVE STE 203
CARROLLTON, GA 30117

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 Myriam Vela-ortiz's NPI number?

The NPI number for Myriam Vela-ortiz is 1306187570. It was assigned to this individual provider in the NPPES registry on March 12, 2013.

Where is Myriam Vela-ortiz located?

Myriam Vela-ortiz practices at 157 Clinic Ave Ste 203, Carrollton, GA 30117. The listed phone number is (770) 832-0429.

What is Myriam Vela-ortiz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Myriam Vela-ortiz enrolled in Medicare?

Yes. Myriam Vela-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.

What insurance does Myriam Vela-ortiz accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Myriam Vela-ortiz 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.

When was this NPI record last updated?

The NPPES record for Myriam Vela-ortiz was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.