LUIS A. ORTIZ (MD) – Pediatric Nephrology Physician, NPI 1114026242

LUIS A. ORTIZ (MD) is a healthcare provider. based in Augusta, Georgia. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 051260 (GA). The NPI Number for LUIS A. ORTIZ (MD) is 1114026242

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
LUIS A. ORTIZ (MD)
NPI
1114026242
Phone
(706) 828-6410
Address
1499 WALTON WAY
Enumeration Date
22 September 2006
Last Update Date
30 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
1981 (45 years ago)
PAC ID
3173688074
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20090210000010
Address ID
GA301527742KE5150XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

431 NEPHROLOGY in GA

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Provider Addresses for LUIS A. ORTIZ (MD)

  • 1499, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    STE 1400

    AUGUSTA, GA 309012650

    Phone: (706) 828-6410

    Type: Mailing

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone: (706) 721-0177

    Fax: (706) 721-8017

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Vertex Pharmaceuticals Incorporated ($60).

Total Amount

$183

General + Research + Ownership

Payments

6

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2009-02-10

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
I20090210000010INephrologyGATBD

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 30901)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How do I look up LUIS A. ORTIZ (MD) by NPI?
Use NPI 1114026242 when you need to reference LUIS A. ORTIZ (MD) in forms, claims, or directories.
Is LUIS A. ORTIZ (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize LUIS A. ORTIZ (MD)'s specialty in plain language?
Clinically, the directory lists LUIS A. ORTIZ (MD) with Pediatric Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place LUIS A. ORTIZ (MD)?
The snapshot lists Augusta, Georgia for LUIS A. ORTIZ (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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