NPPES file of Aug 9, 2026

Roberto Ortiz, M.D.

Endocrinology, Diabetes & Metabolism Physician · Providence, RI

Roberto Ortiz, M.D. is an endocrinology, diabetes & metabolism physician with a practice address in Providence, Rhode Island, and NPI 1407995640, issued on Feb 5, 2007. Check the license (Rhode Island 08984, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1407995640
Name
Roberto Ortiz
Credential
M.D.
Primary taxonomy
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License number
08984 RI
Self-reported in NPPES; status is on the state search
Practice location
100 Highland Ave, Providence, RI 02906
Phone
(401) 351-7100
Enumerated
Feb 5, 2007
Record last updated
Jun 9, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(401) 751-6179
Medicaid ID
9002705 RI
Medicare enrollment
Enrolled (PECOS I20070205000515); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 100 Highland Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Elizabeth Altenhein, MDSurgery Physician1689670044
  2. Brianna Boulanger, MTMassage Therapist1306274584
  3. Marilyn Castro, LMHC-A, M. OF EDUCounselor1265267140
  4. Man Chin Chang, M.D.Endocrinology, Diabetes & Metabolism Physician1346442563
  5. Jenna CostaFamily Nurse Practitioner1326710427
  6. Robert Dobrzynski, M.D.Endocrinology, Diabetes & Metabolism Physician1598863599

Verify Roberto Ortiz in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
    Search for license 08984
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Rhode Island license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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4.7 times the Medicare Part D claims of the average endocrinology, diabetes & metabolism physician in 2024

12,307 Medicare Part D claims for 1,210 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 40% of claims.

  1. Roberto Ortiz12,307
  2. Specialty average2,630

Most prescribed

  1. Levothyroxine Sodium1,880 claims
  2. Synthroid698 claims
  3. Glimepiride697 claims
  4. Metformin Hcl Er539 claims
  5. Jardiance535 claims
  6. Atorvastatin Calcium519 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 82.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score65.9
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $36.85

2 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Roberto Ortiz$36.85
  2. Specialty average$5,742.15

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Diabetes And Endocrinology Associates, Inc.Providence, RI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Roberto Ortiz among 38 endocrinology, diabetes & metabolism physician records in Rhode Island

Roberto Ortiz, M.D. is one of 38 endocrinology, diabetes & metabolism physician records with a practice address in Rhode Island. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 47% of them.

  • NPI issued2007 · 47% of these records are older, 37% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 58% of these records are
  • Graduated1985 · median 2006 among the 22 with a school on file
  • Record last updated2011 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Endocrinology, Diabetes & Metabolism Physician providers in Rhode Island

There are 38 endocrinology, diabetes & metabolism physician records in Rhode Island.

The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes

  1. Man Chin Chang, M.D.Providence, RI 029061346442563
  2. Robert Dobrzynski, M.D.Providence, RI 029061598863599
  3. Charles Kahn, M.D.Providence, RI 029061790883270
  4. Vorawan Ummaritchot, M.D.Providence, RI 029061043447097
  5. Daryl Selen, M.D.Providence, RI 029051699122010
  6. Maged Taman, MDProvidence, RI 029071841381555
  7. Joseph Tucci, M.D.Providence, RI 029081780641084
  8. Alicia Warnock, M.D.Providence, RI 029081063610038

Common questions

What is Roberto Ortiz, M.D.'s NPI number?

Roberto Ortiz, M.D.'s National Provider Identifier (NPI) is 1407995640, issued on Feb 5, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Roberto Ortiz, M.D. located?

The NPPES record lists a practice address at 100 Highland Ave, Providence, RI, 02906. Phone: (401) 351-7100. Providers update this record themselves, so call before visiting.

How can I verify Roberto Ortiz, M.D.'s license?

NPPES lists Rhode Island license number 08984, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Roberto Ortiz, M.D. prescribe under Medicare Part D?

In 2024, Roberto Ortiz, M.D. had 12,307 Medicare Part D claims for 1,210 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.

What is Roberto Ortiz, M.D.'s MIPS final score?

The 2023 MIPS final score is 82.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.