Active NPI
Careconnectmd West Virginia Corp
- General Practice Physician
- Triadelphia, WV
National Provider Identifier
1376224832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CARECONNECTMD WEST VIRGINIA CORP
- Practice address
- 300 Wharton Cir FL 2
Triadelphia, WV 26059-1293 - Phone
- (888) 789-9585
- NPI assigned
- Jul 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Orlando Collado, MD
- Title
- Owner
- Phone
- (888) 789-9585
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
300 Wharton Cir FL 2
Triadelphia, WV 26059-1293
Mailing address
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251215001129 | WV | Part B Supplier - Clinic/Group Practice | 6800380023 | Practice locations: Triadelphia, WV |
National Provider Directory
National Provider DirectoryLocations
300 Wharton Cir
Fl 2
Triadelphia, WV 26059
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1205964947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763596800000",
"number": "1376224832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 BRISTOL ST STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WHARTON CIR FL 2",
"city": "TRIADELPHIA",
"state": "WV",
"postal_code": "260591293",
"telephone_number": "888-789-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECONNECTMD WEST VIRGINIA CORP",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-27",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A",
"authorized_official_last_name": "COLLADO",
"authorized_official_first_name": "ORLANDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-789-9585",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Triadelphia, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.