MARIO ORTIZ PA-C - NPI 1689436305 - Physician Assistant in Chicago, IL

Q: What is Mario Ortiz's NPI number?

The NPI number for Mario Ortiz is 1689436305. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Q: What is Mario Ortiz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mario Ortiz was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mario Ortiz Pa-c NPPES

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

MARIO ORTIZ PA-C (NPI 1689436305) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689436305

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMARIO ORTIZCredential: PA-C

Location Address3450 S ARCHER AVEChicago, IL 60608-6837

Mailing Address3603 W 53rd St Apt 5Chicago, IL 60632-3757 · (773) 954-6812

Phone(773) 523-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 29, 2024

Last NPPES UpdateFebruary 12, 2025

NPPES CertifiedFebruary 12, 2025

✔ NPI 1689436305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3450 S ARCHER AVE, Chicago, IL 60608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Mario Ortiz Pa-c 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 ID7618404898

PECOS Enrollment IDI20241230002368

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140018

Location1500 S Fairfield AveChicago, IL 60608 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

DR. AJEET SINHA D.D.S.

Dentist (General Practice)