DR. JACOB ROBERTO ORTIZ (MD) – Cardiovascular Disease Physician, NPI 1215294749
Cardiovascular Disease Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,636 INTERNAL MEDICINE in MN
Provider Addresses for DR. JACOB ROBERTO ORTIZ (MD)
400 STINSON BLVD
MINNEAPOLIS, MN 554132614
Phone:
Type: Mailing
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
Phone: (612) 672-6000
Type: Location
PO BOX 421718
GEORGETOWN, SC 294424203
Phone: (843) 527-7000
Type: Mailing
1014 HUGER DR
GEORGETOWN, SC 294403322
Phone: (843) 235-3131
Fax: (843) 237-9797
Type: Location
3333 Silas Creek Pkwy
Winston Salem, NC 271033013
Phone: (336) 718-8383
Fax: (336) 718-9622
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $224.
Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.
Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Teleflex LLC ($132).
Total Amount
$224
General + Research + Ownership
Payments
3
Total payment records
General Amount
$224
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $132 |
| Philips North America LLC | $92 |
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: 2025-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240103000157 | I | Internal Medicine | VA | TBD |
| I20240522002014 | I | Cardiovascular Disease (Cardiology) | NC | TBD |
| I20250729000148 | I | Interventional Cardiology | SC | TBD |
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.
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 55413)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospice/Palliative Care | NC | |
| - | NC | |
| - | FL | |
| Physician Assistant | NC | |
| - | NY | |
| - | NC | |
| Nurse Practitioner | NC | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Neurology, Psychiatry | NC | |
| Pulmonary Disease | NC |
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