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DR. GUILLERMO ORTEGA MD
NPI 1861901753
Emergency Medicine in South Miami, FL

Active since September 24, 2017PECOS Enrolled
6200 SW 73RD ST, SOUTH MIAMI, FL 33143(786) 662-0450 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Sep 27, 2018, Sep 24, 2017 (3 updates tracked since 2017).

About Dr. Guillermo Ortega Md NPPES

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

DR. GUILLERMO ORTEGA MD (NPI 1861901753) is an individual emergency medicine provider in South Miami, Florida, licensed in Florida (ME137297) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Brunswick.

NPPES Registry Identity

NPI1861901753
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GUILLERMO ORTEGACredential: MD
Location Address6200 SW 73RD STSouth Miami, FL 33143-4679
Mailing Address6200 Sw 73rd StSouth Miami, FL 33143-4679 · (786) 662-0450
Phone(786) 662-0450
Sole ProprietorNo
Enumeration DateSeptember 24, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1861901753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME137297
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6200 SW 73RD ST, South Miami, FL 33143
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Secondary Practice Location 1

Location 11 Robert Wood Johnson PlNew Brunswick, NJ 08901-1928 · Phone (305) 308-5045

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Guillermo Ortega Md 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 Reassignments

2

Medicare enrollment records show Guillermo Ortega reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Miami Criticare Inc.
Same address
Emergency Medicine
6200 SW 73RD ST
South Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
  • 60 clinicians in this Medicare group
NPI 1306878210 (305) 665-4614
Usacs Of South Florida LLC
Same address
Emergency Medicine
6200 SW 73RD ST
South Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
  • 51 clinicians in this Medicare group
NPI 1396672887 (844) 474-4019

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
244 services237 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.
64 services63 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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.

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.

BENJAMIN AND BLANK LLC
Internal Medicine (Pulmonary Disease)
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-8400
CHRISTINE R MARAMBIO
Nurse Anesthetist, Certified Registered
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 242-4575
JULIO DAVID DIAZ MORALES CRNA
Nurse Anesthetist, Certified Registered
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 228-4993
DR. FRANCIA ELENA GUERRERO MD
Internal Medicine
6200 SW 73RD ST, BOX 69
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-5465
KARINA ALTAGRACIA DIAZ MD
Hospitalist
6200 SW 73RD ST, SOUTH MIAMI HOSPITAL
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-4000
MRS. STEPHANIE JONES PA-C
Physician Assistant
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-4000
AMILCAR REY APRN
Nurse Practitioner (Primary Care)
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-8194
HARRISON PHAN PHARMD
Pharmacist (Infectious Diseases)
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-4000

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 Guillermo Ortega's NPI number?

The NPI number for Guillermo Ortega is 1861901753. It was assigned to this individual provider in the NPPES registry on September 24, 2017.

Where is Guillermo Ortega located?

Guillermo Ortega practices at 6200 SW 73rd St, South Miami, FL 33143. The listed phone number is (786) 662-0450.

What is Guillermo Ortega's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Guillermo Ortega enrolled in Medicare?

Yes. Guillermo Ortega is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Guillermo Ortega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guillermo Ortega reassigns Medicare benefits to 2 organizations: South Miami Criticare Inc. (South Miami, FL) and Usacs Of South Florida LLC (South Miami, FL). 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 Guillermo Ortega'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 Guillermo Ortega was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.