PUBLIO ORTIZ (M.D.) – Obstetrics & Gynecology Physician, NPI 1801873088

PUBLIO ORTIZ (M.D.) is a healthcare provider. based in Waterloo, Iowa. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 28288 (IA). The NPI Number for PUBLIO ORTIZ (M.D.) is 1801873088

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
PUBLIO ORTIZ (M.D.)
NPI
1801873088
Phone
(319) 235-5050
Address
146 W DALE ST
Enumeration Date
28 December 2005
Last Update Date
6 February 2015

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
2961308770
Group Practice PAC ID
8729992318
Professional Enrollment ID
I20031229000197
Address ID
IA506138155CE5100XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

357 OBSTETRICS/GYNECOLOGY in IA

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Provider Addresses for PUBLIO ORTIZ (M.D.)

  • 146, West Dale Street, Waterloo, Black Hawk County, Iowa, 50703, United States

    SUITE 102

    WATERLOO, IA 507031901

    Phone: (319) 235-5050

    Fax: (319) 235-5107

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-12-29

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
I20031229000197IObstetrics/GynecologyIATBD

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 50703)

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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: 8729992318View full group profile

Reviews

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Frequently asked questions

Can I verify PUBLIO ORTIZ (M.D.) with an NPI only?
You can start verification with NPI 1801873088 for PUBLIO ORTIZ (M.D.), then check state licensing separately.
Is PUBLIO ORTIZ (M.D.) still practicing?
PUBLIO ORTIZ (M.D.) is currently listed as active in the public NPI registry.
What is PUBLIO ORTIZ (M.D.)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for PUBLIO ORTIZ (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is PUBLIO ORTIZ (M.D.) based?
PUBLIO ORTIZ (M.D.) is tied to Waterloo, Iowa in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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