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Deactivated NPI 1073084554 Deactivated / Inactive NPI Male Practitioner

Benjamin Ortiz

Peer Specialist • Edmond, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Benjamin Ortiz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 10, 2018
NPI Deactivation Date March 27, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Benjamin Ortiz was a registered Peer Specialist practicing in Edmond, OK. Throughout an active medical career spanning 7 years, Benjamin Ortiz provided care at the practice location at 1920 E 2ND ST APT 2714 until profile deactivation on 2025-03-27.

Practice Location & Contact Primary Location

Practice Address

1920 E 2nd St Apt 2714

Edmond, OK 730346379

Telephone 8168920563

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
82 Specialists

Practicing in Edmond, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 27, 2025

Record deactivated on March 27, 2025

NPI Profile Active December 10, 2018

NPI status registered as active in NPPES database

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Updated Practice Location December 10, 2018

Registered at 1920 E 2ND ST APT 2714, EDMOND, OK 730346379 (Tel: 8168920563)

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Updated Business Mailing Address December 10, 2018

Registered at 1920 E 2ND ST APT 2714, EDMOND, OK 730346379 (Tel: 8168920563)

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Provider Name / Credentials Updated December 10, 2018

Recorded as BENJAMIN ORTIZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2018

Peer Specialist

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Initial NPI Registration & Enumeration December 10, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073084554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2018
Last Update: December 10, 2018
Deactivation Date: March 27, 2025

Mailing Address

1920 E 2nd St Apt 2714

Edmond, OK 730346379

Phone: 8168920563

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.