DR. KENNETH JOHN ORTIZ (M.D.) – Plastic Surgery Physician, NPI 1942377924

DR. KENNETH JOHN ORTIZ (M.D.) is a healthcare provider. based in Henrico, Virginia. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 046706 (GA). The NPI Number for DR. KENNETH JOHN ORTIZ (M.D.) is 1942377924

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH JOHN ORTIZ (M.D.)
NPI
1942377924
Phone
(804) 364-1007
Address
11958 W Broad St
Enumeration Date
29 November 2006
Last Update Date
10 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8048287929
Graduation Year
1996 (30 years ago)
PAC ID
1153569694
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20200806003070
Address ID
VA232985004RI1001XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

183 PLASTIC AND RECONSTRUCTIVE SURGERY in VA

Provider Addresses for DR. KENNETH JOHN ORTIZ (M.D.)

  • 11958 W Broad St

    Henrico, VA 232331007

    Phone: (804) 364-1007

    Fax: (804) 364-1019

    Type: Location

  • 9109 Stony Point Dr

    Richmond, VA 232351979

    Phone: (804) 828-3060

    Fax: (804) 288-5222

    Type: Location

  • 1250 E Marshall St

    Richmond, VA 232985023

    Phone: (804) 827-1027

    Fax: (804) 827-0701

    Type: Location

  • 620 JOHN PAUL JONES CIR

    NMCP- PLASTIC SURGERY

    PORTSMOUTH, VA 237082111

    Phone: (757) 952-2883

    Fax: (757) 953-0851

    Type: Location

  • 304 BAY COLONY DR

    VIRGINIA BEACH, VA 234513818

    Phone: (757) 613-7300

    Type: Mailing

  • 1001 E LEIGH ST

    RICHMOND, VA 232985004

    Phone: (804) 828-3060

    Fax: (804) 288-5222

    Type: Location

  • 508, Piping Rock Drive, Great Bridge, Chesapeake, Virginia, 23322, United States

    CHESAPEAKE, VA 233228894

    Phone: (757) 953-2883

    Fax: (757) 953-0851

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,151.

Total Amount is formed as General ($1,151) + Research ($0) + Ownership ($0) = $1,151.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($276).

Total Amount

$1,151

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-08-06

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
I20200806003070IPlastic And Reconstructive SurgeryVATBD

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 23233)

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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: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
Nurse PractitionerVA
Orthopedic SurgeryVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Nurse PractitionerVA
Qualified AudiologistVA
Radiation OncologyVA
O T O L A R Y N G O L O G YVA

Reviews

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Frequently asked questions

What is DR. KENNETH JOHN ORTIZ (M.D.)'s NPI number?
DR. KENNETH JOHN ORTIZ (M.D.)'s NPI is 1942377924 — the number used across U.S. healthcare to identify this provider.
Is DR. KENNETH JOHN ORTIZ (M.D.) shown as active in public data?
Registry records indicate DR. KENNETH JOHN ORTIZ (M.D.) maintains an active NPI.
What area of care is associated with DR. KENNETH JOHN ORTIZ (M.D.)?
DR. KENNETH JOHN ORTIZ (M.D.)'s record emphasizes Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH JOHN ORTIZ (M.D.) associated with Henrico?
Public fields place DR. KENNETH JOHN ORTIZ (M.D.) around Henrico, Virginia. Always confirm the exact site before visiting.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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