RANDY ORTIZ IRIZARRY MD
NPI 1508643230
General Practice in Coamo, PR
About Randy Ortiz Irizarry Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDY ORTIZ IRIZARRY MD (NPI 1508643230) is an individual general practice provider in Coamo, Puerto Rico, licensed in Puerto Rico (023508) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randy Ortiz Irizarry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Randy Ortiz Irizarry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aibonito, PR 00705
- Reassigned Medicare billing, Puerto Rico enrollment
- 205 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COAMO, PR 00769
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 Randy Ortiz Irizarry's NPI number?
The NPI number for Randy Ortiz Irizarry is 1508643230. It was assigned to this individual provider in the NPPES registry on September 14, 2023.
Where is Randy Ortiz Irizarry located?
Randy Ortiz Irizarry practices at Jardines De Santa Ana F-5 Calle 5, Coamo, PR 00769. The listed phone number is (787) 702-2018.
What is Randy Ortiz Irizarry's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Randy Ortiz Irizarry enrolled in Medicare?
Yes. Randy Ortiz Irizarry is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Randy Ortiz Irizarry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Ortiz Irizarry reassigns Medicare benefits to Mennonite General Hospital Inc (Aibonito, PR). The 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 Randy Ortiz Irizarry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Randy Ortiz Irizarry was last updated on September 14, 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.
# Randy Ortiz Irizarry, MD · NPI 1508643230
General Practice physician in Coamo, Puerto Rico. Individual provider, active in the CMS NPPES registry since September 14, 2023.
## Identity
- **NPI:** 1508643230 (Entity type: Individual)
- **Enumerated:** September 14, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 023508 (Puerto Rico)
- **Sole proprietor:** No
## Practice location
- **Address:** JARDINES DE SANTA ANA, F-5 CALLE 5, Coamo, PR 00769
- **Phone:** (787) 702-2018
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mennonite General Hospital Inc (NPI 1043347768, Aibonito, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508643230) · Data from the CMS NPPES public registry.