PEDRO ORTIZ
NPI 1629502463
Physician Assistant - Medical in Deltona, FL

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
1200 DELTONA BLVD APT 40A, DELTONA, FL 32725(386) 202-6025 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Apr 19, 2017 (2 updates tracked since 2017).

About Pedro Ortiz NPPES

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

PEDRO ORTIZ (NPI 1629502463) is an individual medical provider in Deltona, Florida, licensed in Florida (PA9119021) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Patillas, and is a graduate of San Juan Bautista School Of Medicine (2024).

NPPES Registry Identity

NPI1629502463
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePEDRO ORTIZ
Location Address1200 DELTONA BLVD APT 40ADeltona, FL 32725-6386
Mailing Address1205 S Woodland Blvd Ste 3Deland, FL 32720-7464 · (386) 202-6025
Sole ProprietorNo
Medical School CMSSan Juan Bautista School Of MedicineGraduated 2024
Enumeration DateApril 19, 2017
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1629502463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9119021
Also ListedTechnician, OtherTaxonomy 247200000X · License 008557 (PR)
1200 DELTONA BLVD APT 40A, Deltona, FL 32725

Secondary Practice Location 1

Location 199 Calle Guillermo RiefkohlPatillas, PR 00723 · Phone (787) 839-4320 ext. 1255 · Fax (787) 271-0004

Other Identifiers 2

OtherPA9119021FL · Medical License
Other205411Registry Number

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

Pedro Ortiz 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 ID6608316328
PECOS Enrollment IDI20240909004546
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.

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.

Physician Assistant (Medical)
1200 DELTONA BLVD APT 40A
DELTONA, FL 32725
Family Medicine
1200 DELTONA BLVD APT 40A
DELTONA, FL 32725
Physician Assistant (Medical)
1200 DELTONA BLVD APT 40A
DELTONA, FL 32725
Dentist
1200 DELTONA BLVD APT 40A
DELTONA, FL 32725
Pharmacist
1200 DELTONA BLVD APT 40A
DELTONA, FL 32725

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 Pedro Ortiz's NPI number?

The NPI number for Pedro Ortiz is 1629502463. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Pedro Ortiz located?

Pedro Ortiz practices at 1200 Deltona Blvd Apt 40A, Deltona, FL 32725. The listed phone number is (386) 202-6025.

What is Pedro Ortiz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Pedro Ortiz enrolled in Medicare?

Yes. Pedro 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 Pedro Ortiz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Pedro 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 Pedro Ortiz was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.