Active NPI
Jose R Orellana, M.D.
- Internal Medicine Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 035834
- Practice address
- 1682 NE Pine Island Rd
Cape Coral, FL 33909-1756 - Phone
- (239) 424-1600
- Fax
- (239) 424-1640
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 035834 | CT | |
| Internal Medicine Physician | 207R00000X | 035834 | CT | Primary |
Addresses
Primary practice location
1682 NE Pine Island Rd
Cape Coral, FL 33909-1756
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1600
Other practice location 1
99 Ash St
Internal Medicine
East Hartford, CT 06108-3226
Phone (860) 282-3894
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035834 | Other | CT | CONNECTICARE |
| 110201457 | Other | CT | RAILROAD MEDICARE |
| 010035834CT02 | Other | CT | ANTHEN BC/BS |
| 104923300 | Medicaid | FL | |
| P490553 | Other | CT | OXFORD |
| 00135834101 | Other | CT | BLUE CARE FAMILY PLAN |
| 061571622 | Other | CT | CIGNA |
| 2286093 | Other | CT | AETNA |
| 001358341 | Medicaid | CT | |
| 061571622 | Other | CT | UNITED HEALTHCARE |
| OV6505 | Other | CT | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Connecticut Institute for Communities Inc
Practice addresses (Care Compare)
120 Main St
Danbury, CT 06810-7834
Phone (203) 743-9760
471 Barnum Ave
Bridgeport, CT 06608-2409
Phone (203) 576-3885
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035834 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Institute for Communities Inc | Current | Accepting new patients | |
| Optimus Health Care Inc | Current | Accepting new patients | |
| Connecticut Institute for Communities Inc | Current | Accepting new patients | |
| Staywell Health Care, Inc. | Current | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients | |
| Franklin Medical Group, PC | Internal Medicine | Past | Accepting new patients |
Locations
982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260
120 Main St
Danbury, CT 06810
Phone (203) 456-1406
57 North St
Ste 309
Danbury, CT 06810
Phone (203) 794-0761
57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007
70 Main St
Danbury, CT 06810
Phone (203) 739-8100
30 Church St
Naugatuck, CT 06770
Phone (203) 805-4929
80 Phoenix Ave
Ste 201
Waterbury, CT 06702
Phone (203) 757-5491
402 E Main St
Waterbury, CT 06702
Phone (203) 755-1143
95 Thomaston Ave
Waterbury, CT 06702
Phone (203) 805-5300
1309 S Main St
Waterbury, CT 06706
Phone (203) 597-9044
114 Benedict St
Waterbury, CT 06706
Interoperability endpoints
- jorellana641883@direct.ynhh.org
- jose.orellana@gdchc.eclinicaldirectplus.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bridgeport, CT
- NPI 1669445946
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1780918045
-
- Family Medicine Physician
- Waterbury, CT
- NPI 1154342335
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1528499969
-
- Federally Qualified Health Center (FQHC)
- Stamford, CT
- NPI 1780944736
-
- Internal Medicine Physician
- Waterbury, CT
- NPI 1780686964
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- Home Health Agency
- Ridgefield, CT
- NPI 1497758874
-
- Home Health Agency
- Danbury, CT
- NPI 1083677132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1104845460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-424-1600",
"fax_number": "239-424-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1682 NE PINE ISLAND RD",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339091756",
"telephone_number": "239-424-1600",
"fax_number": "239-424-1640"
}
],
"practiceLocations": [
{
"address_1": "99 Ash St",
"address_2": "Internal Medicine",
"address_purpose": "LOCATION",
"city": "East Hartford",
"state": "CT",
"postal_code": "061083226",
"country_code": "US",
"telephone_number": "860-282-3894",
"fax_number": "860-282-8582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORELLANA",
"first_name": "JOSE",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "035834",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "035834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "035834",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110201457",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEN BC/BS",
"identifier": "010035834CT02",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104923300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P490553",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE FAMILY PLAN",
"identifier": "00135834101",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "061571622",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2286093",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001358341",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "061571622",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OV6505",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.