VERONICA NICOLE ORTIZ M.D.
NPI 1851592844
Internal Medicine - Critical Care Medicine in San Jose, CA

Q: What is Veronica Ortiz's NPI number?

The NPI number for Veronica Ortiz is 1851592844. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Q: What is Veronica Ortiz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Veronica Ortiz was last updated on September 26, 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.

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment

94.9/100

CMS Quality Rating

2425 SAMARITAN DR, SAN JOSE, CA 95124(888) 924-1036 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2020, Aug 29, 2019 (2 updates tracked since 2019).

On this page

About Veronica Nicole Ortiz M.d. NPPES

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

VERONICA NICOLE ORTIZ M.D. (NPI 1851592844) is an individual critical care medicine provider in San Jose, California, licensed in California (A123496) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1851592844

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NameVERONICA NICOLE ORTIZCredential: M.D.

Location Address2425 SAMARITAN DRSan Jose, CA 95124-3908

Mailing Address2425 Samaritan DrSan Jose, CA 95124-3908 · (888) 924-1036

Phone(888) 924-1036

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMay 29, 2007

Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2023

✔ NPI 1851592844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in CA · A123496

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A123496 (CA)

2425 SAMARITAN DR, San Jose, CA 95124

Open in Google Maps ↗

Secondary Practice Location 1

Location 1227 N Jackson AveSan Jose, CA 95116-1603 · Phone (408) 871-3400

Other Identifiers 1

OtherA123496CA · Medical License

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

Veronica Nicole Ortiz M.d. 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 ID4789735234

PECOS Enrollment IDI20130807000168

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 Reassignments

Medicare enrollment records show Veronica Ortiz reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

El Camino Health Medical Network, LLC

4.2 mi

Multi-Specialty

828 S WINCHESTER BLVD
San Jose, CA 95128

Reassigned Medicare billing, California enrollment
314 clinicians in this Medicare group

NPI 1164880761 (408) 871-3400

County Of Santa Clara

4.3 mi

Anesthesiology

751 S. BASCOM AVENUE
San Jose, CA 95128

Reassigned Medicare billing, California enrollment
2,460 clinicians in this Medicare group

NPI 1588721500 (408) 885-5000

Verity Medical Foundation

5.0 mi

Multi-Specialty

625 LINCOLN AVE
San Jose, CA 95126

Reassigned Medicare billing, California enrollment
133 clinicians in this Medicare group

NPI 1326312067 (405) 278-3000

University Healthcare Alliance

21 mi

Internal Medicine

7999 GATEWAY BLVD STE 200
Newark, CA 94560

Reassigned Medicare billing, California enrollment
435 clinicians in this Medicare group

NPI 1760531198 (888) 924-1036

Hospitalists Of Modesto Medical Group Inc

59 mi

Internal Medicine

1441 FLORIDA AVE
Modesto, CA 95350

Reassigned Medicare billing, California enrollment
176 clinicians in this Medicare group

NPI 1821190711 (209) 576-3525

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

190 services138 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

184 services91 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

122 services68 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

88 services63 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

82 services49 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

63 services63 patients

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490050

Location1701 North George Mason DriveArlington, VA 22205 · Arlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95124 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

$156.67 typical visit price

range $70.37 – $206.04

Typical copayment $39.16 (range $17.59 – $51.51)

Most-billed visit code 99204

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.81

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 30

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

13 suppliers132 claims132 services$32.43 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers19 claims37 services$0.93 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers59 claims59 services$71.46 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers57 claims161 services$26.42 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers65 claims381 services$15.09 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

10 suppliers38 claims215 services$12.40 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

11 suppliers121 claims121 services$43.13 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

13 suppliers98 claims98 services$14.36 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

6 suppliers18 claims18 services$8.42 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers25 claims25 services$9.54 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

13 suppliers164 claims958 services$1.72 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

4 suppliers14 claims14 services$4.77 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

11 suppliers71 claims71 services$11.26 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers44 claims46 services$13.89 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers31 claims31 services$773.04 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers14 claims14 services$86.87 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

8 suppliers19 claims19 services$115.37 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers72 claims72 services$3.42 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

8 suppliers135 claims135 services$26.76 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers134 claims135 services$63.18 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers43 claims43 services$30.46 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$4.41 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

4 suppliers38 claims3,240 services$6.69 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers12 claims4,674 services$0.04 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

7 suppliers32 claims3,330 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

6 suppliers40 claims3,512 services$0.80 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims57,750 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier29 claims29 services$34.11 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers61 claims61 services$25.64 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

2 suppliers11 claims11 services$52.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

HARRAMANJOYT HANS-BRAR RD

Dietitian, Registered

2425 SAMARITAN DR
SAN JOSE, CA 95124

Santa Clara County (408) 559-2501

MICHAEL THOMAS PAIGE MD

Anesthesiology

2425 SAMARITAN DR
SAN JOSE, CA 95124

Santa Clara County (408) 558-2100

AUDREY LEE ADAMS MD

Anesthesiology

2425 SAMARITAN DR
SAN JOSE, CA 95124

Santa Clara County (408) 558-2100

DR. JOON SEOK SUH MD

Internal Medicine

2425 SAMARITAN DR
SAN JOSE, CA 95124

Santa Clara County (408) 559-2011

MADELEINE VO

Physician Assistant

2425 SAMARITAN DR
SAN JOSE, CA 95124

Santa Clara County (408) 559-2011

DR. AUDREY LEE

Anesthesiology

2425 SAMARITAN DR
SAN JOSE, CA 95124

Santa Clara County (408) 559-2011

JOHN BRET CELLAR MD

Anesthesiology

2425 SAMARITAN DR
SAN JOSE, CA 95124

Santa Clara County (408) 558-2100

LIGIA SORAYA ABOHANDE FNP

Nurse Practitioner (Family)

2425 SAMARITAN DR
SAN JOSE, CA 95124

Santa Clara County (408) 616-0649

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 Veronica Ortiz's NPI number?

The NPI number for Veronica Ortiz is 1851592844. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Veronica Ortiz located?

Veronica Ortiz practices at 2425 Samaritan Dr, San Jose, CA 95124. The listed phone number is (888) 924-1036.

What is Veronica Ortiz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Veronica Ortiz enrolled in Medicare?

Yes. Veronica 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.

Which organizations bill Medicare for Veronica Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Veronica Ortiz reassigns Medicare benefits to 5 organizations: El Camino Health Medical Network, LLC (San Jose, CA), County Of Santa Clara (San Jose, CA), Verity Medical Foundation (San Jose, CA), University Healthcare Alliance (Newark, CA) and Hospitalists Of Modesto Medical Group Inc (Modesto, CA). Each 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 Veronica Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Veronica Ortiz affiliated with any hospitals?

According to CMS data, Veronica Ortiz is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Veronica Ortiz was last updated on September 26, 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.