Doctor profile · Federal record
Dr. Jake Portillo, MD
Physical Medicine & Rehabilitation Physician (CMS: Physical Medicine and Rehabilitation) · Physical Medicine & Rehabilitation Physician · Student in an Organized Health Care Education/Training Program · Virginia Beach, VA
- NPI 1710567110
- Accepts Medicare
- 5 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5716 Cleveland St Ste 200
Virginia Beach, VA 234621784
(757) 490-4802 - Additional location
-
26W171 Roosevelt RD
Wheaton, IL 601876002
(630) 909-8000 - Mailing address
-
1500 S Main St
Fort Worth, TX 761044917
Credentials & registration
- NPI registered
- April 2021 — 5 yrs on file
- Profile last updated
- October 22, 2025
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 208100000X — NUCC code
- State licenses (2)
- Virginia #0101285892 · Illinois #125080756
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1710567110. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$286
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $144.54 | |
| Merz Pharmaceuticals, LLC | 2 | $141.17 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Jake Portillo's medical specialty?
Dr. Jake Portillo practices Physical Medicine & Rehabilitation Physician in Virginia Beach, VA.
Where does Dr. Jake Portillo practice?
Dr. Jake Portillo practices at 5716 Cleveland St Ste 200, Virginia Beach, VA 234621784. Office phone: 7574904802.
What is Dr. Jake Portillo's NPI?
Dr. Jake Portillo's National Provider Identifier (NPI) is 1710567110, issued by NPPES.
Does Dr. Jake Portillo accept Medicare assignment?
Yes. Dr. Jake Portillo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.