IAN ALEXANDER ORTIZ – Physician Assistant, NPI 1245827351

IAN ALEXANDER ORTIZ is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9114096 (FL). The NPI Number for IAN ALEXANDER ORTIZ is 1245827351

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
IAN ALEXANDER ORTIZ
NPI
1245827351
Phone
(844) 407-4070
Address
9975 TAVISTOCK LAKES BLVD STE 220
Enumeration Date
22 December 2020
Last Update Date
25 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072002700
Graduation Year
2020 (6 years ago)
PAC ID
4183013535
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20230103000565
Address ID
FL327517102MA2600XLNXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:5State licenses:3Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for IAN ALEXANDER ORTIZ

  • 9975 TAVISTOCK LAKES BLVD STE 220

    ORLANDO, FL 328277665

    Phone: (844) 407-4070

    Fax: (321) 248-4035

    Type: Location

  • 833 CHESTNUT ST STE 520

    PHILADELPHIA, PA 191074430

    Phone: (484) 214-6604

    Fax: (267) 479-1321

    Type: Mailing

  • 410 Lionel Way Ste 201

    Davenport, FL 338377809

    Phone: (844) 407-4070

    Fax: (407) 284-3917

    Type: Location

  • 2800 S I-35 FRONTAGE RD

    SUITE 100

    AUSTIN, TX 78704

    Phone: (210) 817-6010

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $464.

Total Amount is formed as General ($464) + Research ($0) + Ownership ($0) = $464.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Stryker Corporation ($289).

Total Amount

$464

General + Research + Ownership

Payments

13

Total payment records

General Amount

$464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230103000565IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32827)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

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Frequently asked questions

Does IAN ALEXANDER ORTIZ have a public NPI I can cite?
Public records show IAN ALEXANDER ORTIZ under NPI 1245827351.
Is IAN ALEXANDER ORTIZ currently accepting referrals based on NPI status?
Registry metadata lists IAN ALEXANDER ORTIZ as active.
What type of care does IAN ALEXANDER ORTIZ provide?
IAN ALEXANDER ORTIZ's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is IAN ALEXANDER ORTIZ tied to Orlando, Florida?
If you are local to Orlando, Florida, IAN ALEXANDER ORTIZ may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.