Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Juan Pablo Moreno-Ortiz, MD

Individual provider Nephrology Physician · NPI 1528521515

Juan Pablo Moreno-Ortiz, MD is an Internal Medicine in Mesa, Arizona. Graduated from Texas a & M University System, Hsc, College of Medicine in 2019, 7 years ago. Practices with San Carlos Apache Healthcare Corporation, a 145-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
7
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
AZ, CA
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6553 E Baywood Ave Ste 205
Mesa, AZ 85206-1754
Phone: (480) 626-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4150 V St Ste 3500, Sacramento, CA 95817-1460 — (916) 734-3682

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 71795 (AZ)
Nephrology Physician Taxonomy 207RN0300X · Licence A179000 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence R77241 (AZ)

Record details

NPI number1528521515
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2019
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice San Carlos Apache Healthcare Corporation — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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