Roberto Ortiz, MD - Medicare Internal Medicine in Providence, RI

Roberto Ortiz, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Providence, Rhode Island. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Diabetes And Endocrinology Associates, Inc. and his current practice location is 100 Highland Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 351-7100.

Roberto Ortiz is licensed to practice in Rhode Island (license number 08984) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407995640.

Contact Information

Roberto Ortiz, MD
100 Highland Ave,
Providence, RI 02906-2740
(401) 351-7100
(401) 751-6179

Map and Direction




Physician's Profile

Full NameRoberto Ortiz
GenderMale
SpecialityInternal Medicine
Experience39 Years
Location100 Highland Ave, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Roberto Ortiz graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1407995640
  • Provider Enumeration Date: 02/05/2007
  • Last Update Date: 06/09/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3577564822
  • Enrollment ID: I20070205000515

Medical Identifiers

Medical identifiers for Roberto Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407995640NPI-NPPES
9002705MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 08984 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital
Kent County Memorial HospitalWarwick, RIHospital
Our Lady Of Fatima HospitalNorth providence, RIHospital
Newport HospitalNewport, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Diabetes And Endocrinology Associates, Inc.07492810876

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Roberto Ortiz allows following entities to bill medicare on his behalf.
Entity NameDiabetes & Endocrinology Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407954415
PECOS PAC ID: 0749281087
Enrollment ID: O20070129000662

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roberto Ortiz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roberto Ortiz, MD
100 Highland Ave, Suite 203,
Providence, RI 02906-2740

Ph: (401) 351-7100
Roberto Ortiz, MD
100 Highland Ave,
Providence, RI 02906-2740

Ph: (401) 351-7100

Reviews and Comments


Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO
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Muhammad Baig, M.D.
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Dr. Peter Sidhom, DO
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Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 603-560-2276    
Dr. Kanhai Farrakhan, MD
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Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-457-3336    Fax: 401-525-2349
Gary M Katzman, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904
Phone: 401-793-7191    Fax: 401-793-7200

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.