Individual provider Active NPI

Jose R Orellana, M.D.

  • Internal Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1104845460
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
035834 Issued in CT
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

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
035834OtherCTCONNECTICARE
110201457OtherCTRAILROAD MEDICARE
010035834CT02OtherCTANTHEN BC/BS
104923300MedicaidFL
P490553OtherCTOXFORD
00135834101OtherCTBLUE CARE FAMILY PLAN
061571622OtherCTCIGNA
2286093OtherCTAETNA
001358341MedicaidCT
061571622OtherCTUNITED HEALTHCARE
OV6505OtherCTHEALTHNET

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110617000116 CT Practitioner - Internal Medicine 2860599396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Connecticut Institute for Communities IncGroup PAC ID 3779623228, shared by 2 NPIs, 45 clinicians
Optimus Health Care IncGroup PAC ID 9335051580, 79 clinicians

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

LicenseStateTypeSpecialty
035834CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Institute for Communities Inc Current Accepting new patients
Optimus Health Care Inc CurrentSince Oct 16, 2025 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Apr 4, 2025 Accepting new patients
Staywell Health Care, Inc. CurrentSince Dec 22, 2025 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

  • Direct secure messaging: jorellana641883@direct.ynhh.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.