Active NPI
Tristan Jorge Orellano, MD
- Surgery Physician
- Laurel, MD
National Provider Identifier
1043322431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0017638
- Practice address
- 7350 Van Dusen Rd
Suite 340
Laurel, MD 20707-5264 - Phone
- (301) 725-5557
- Fax
- (301) 490-7637
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0017638 | MD | Primary |
Addresses
Primary practice location
7350 Van Dusen Rd
Suite 340
Laurel, MD 20707-5264
Mailing address
7350 Van Dusen Rd
Suite 340
Laurel, MD 20707-5264
Phone (301) 725-5557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003971300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278115200000",
"number": "1043322431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7350 VAN DUSEN RD",
"address_2": "SUITE 340",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075264",
"telephone_number": "301-725-5557",
"fax_number": "301-490-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 VAN DUSEN RD",
"address_2": "SUITE 340",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075264",
"telephone_number": "301-725-5557",
"fax_number": "301-490-7637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORELLANO",
"first_name": "TRISTAN",
"middle_name": "JORGE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2010-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0017638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003971300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.