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OSCAR DANIEL ORTEGA MD
NPI 1508898271
Family Medicine in Miami, FL

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
1177 SW 104TH CT, MIAMI, FL 33174(305) 225-3859 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Oscar Daniel Ortega Md NPPES

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

OSCAR DANIEL ORTEGA MD (NPI 1508898271) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME65112) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1966).

NPPES Registry Identity

NPI1508898271
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOSCAR DANIEL ORTEGACredential: MD
Location Address1177 SW 104TH CTMiami, FL 33174-2650
Mailing Address1177 Sw 104th CtMiami, FL 33174-2650 · (305) 225-3859
Phone(305) 225-3859
Sole ProprietorYes
Medical School CMSOtherGraduated 1966
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508898271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME65112
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1177 SW 104TH CT, Miami, FL 33174
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Other Identifiers 3

Medicare UPINF77521FL
Medicare ID-Type Unspecified25063BFL · Medicare Part B
Medicare ID-Type Unspecified25063CFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida.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

Oscar Daniel Ortega Md 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 ID6800855297
PECOS Enrollment IDI20041011000412
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 Reassignment

Medicare enrollment records show Oscar Ortega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Viva Medical Center
2.8 mi
Clinic/Center
10560 NW 27TH ST UNIT G101-A
Doral, FL 33172
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1811575087 (305) 209-0001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33174 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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 Oscar Ortega's NPI number?

The NPI number for Oscar Ortega is 1508898271. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Oscar Ortega located?

Oscar Ortega practices at 1177 SW 104th Ct, Miami, FL 33174. The listed phone number is (305) 225-3859.

What is Oscar Ortega's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Oscar Ortega enrolled in Medicare?

Yes. Oscar Ortega 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 organization bills Medicare for Oscar Ortega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oscar Ortega reassigns Medicare benefits to Viva Medical Center (Doral, FL). 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 Oscar Ortega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oscar Ortega accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Oscar Ortega 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 Oscar Ortega was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.