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DR. CARLOS WILFREDO ORTIZ M.D.
NPI 1578699443
Pediatrics in Miami, FL

Active since February 26, 2007PECOS Enrolled
100 NW 170TH ST STE 102, MIAMI, FL 33169(305) 685-5688 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2025, Aug 3, 2022 (2 updates tracked since 2022).

About Dr. Carlos Wilfredo Ortiz M.d. NPPES

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

DR. CARLOS WILFREDO ORTIZ M.D. (NPI 1578699443) is an individual pediatrics provider in Miami, Florida, licensed in Puerto Rico (08340) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Guayama.

NPPES Registry Identity

NPI1578699443
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. CARLOS WILFREDO ORTIZCredential: M.D.
Location Address100 NW 170TH ST STE 102Miami, FL 33169-5510
Mailing AddressP.o. 1197Guayama, PR 00785-1197 · (787) 839-4150 · Fax (787) 839-6989
Phone(305) 685-5688
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1578699443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PR · 08340
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedGeneral PracticeTaxonomy 208D00000X · License ACN412 (FL)
100 NW 170TH ST STE 102, Miami, FL 33169
Open in Google Maps ↗

Secondary Practice Location 1

Location 1B-9 Ave Los Veteranos, Urb Villa Rosa 3Guayama, PR 00784 · Phone (787) 382-2223 · Fax (787) 864-6642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos Wilfredo Ortiz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Carlos Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Best Value Healthcare LLC
212 mi
Internal Medicine
1100 S FORT HARRISON AVE
Clearwater, FL 33756
  • Reassigned Medicare billing, Florida enrollment
  • 109 clinicians in this Medicare group
NPI 1790152015 (727) 223-3650

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 33169 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 Carlos Ortiz's NPI number?

The NPI number for Carlos Ortiz is 1578699443. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Carlos Ortiz located?

Carlos Ortiz practices at 100 NW 170th St Ste 102, Miami, FL 33169. The listed phone number is (305) 685-5688.

What is Carlos Ortiz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carlos Ortiz enrolled in Medicare?

Yes. Carlos Ortiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Ortiz reassigns Medicare benefits to Best Value Healthcare LLC (Clearwater, 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 Carlos Ortiz'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 Carlos Ortiz was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.