Active NPI
Jorge Enrique Otero, M.D.
- Emergency Medicine Physician
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 034599
- Practice address
- 64 Robbins St
Waterbury, CT 06708-2613 - Phone
- (203) 573-6205
- NPI assigned
- Apr 27, 2006
- Last updated
- Jan 21, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 034599 | CT | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 034599 | CT | |
| Internal Medicine Physician | 207R00000X | 034599 | CT |
Addresses
Primary practice location
64 Robbins St
Waterbury, CT 06708-2613
Mailing address
22 Turtle Bay Dr
Branford, CT 06405-4970
Phone (203) 214-8360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, VT, FL, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeastern Vermont Regional Hospital Inc
Practice addresses (Care Compare)
1315 Hospital Dr
Saint Johnsbury, VT 05819-9210
Phone (802) 748-8141
17 Belmont Ave
Brattleboro, VT 05301-3498
Phone (802) 257-0341
2361 N Semoran Blvd
Baldwin Park ER
Orlando, FL 32807-3714
Phone (407) 359-6010
3100 S Douglas Rd
Coral Gables, FL 33134-6914
Phone (305) 445-8461
725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034599 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Bluewater Emergency Partners of Brunswick, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| North Country Hospital & Health Center Inc | Emergency Medicine | Current | Accepting new patients |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| North Adams Regional Hospital Corporation | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| The Charlotte Hungerford Hospital | Emergency Medicine | Current | Accepting new patients |
| The Charlotte Hungerford Hospital | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc | Current | Accepting new patients | |
| Emergency Physicians of Connecticut PC | Emergency Medicine | Current | Accepting new patients |
| Berkshire Medical Center Inc. | Current | Accepting new patients | |
| Hospital of Saint Raphael | Past | Accepting new patients | |
| Connecticut Em-1 Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Northeast Emergency Medicine Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
130 Division St
Derby, CT 06418
Phone (203) 732-1330
50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
8665 SW 40th St
Miami, FL 33155
Phone (305) 908-2303
2361 N Semoran Blvd
Orlando, FL 32807
Phone (407) 359-6010
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790
71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262
189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638
Interoperability endpoints
- jotero@direct.wtbyhosp.org
Organizations & group practices 22
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.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1043640204
VT
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1902278906
-
- General Acute Care Hospital
- Torrington, CT
- NPI 1629075734
Emergency Medicine
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1730112251
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
-
- Critical Access Hospital
- Newport, VT
- NPI 1144251059
Emergency Medicine
-
dba NVRH EKG Group
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1174566541
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1275576704
-
- Psychiatric Hospital Unit
- Torrington, CT
- NPI 1639255870
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1730112251
-
- Critical Access Hospital
- Newport, VT
- NPI 1144251059
-
dba NVRH Corner Medical
- Primary Care Clinic/Center
- Lyndonville, VT
- NPI 1659459428
Hospital
-
dba NVRH Podiatry Clinic
- Podiatrist
- St Johnsbury, VT
- NPI 1710631635
Hospital
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1275576704
-
dba HCA Florida South Shore Hospital
- General Acute Care Hospital
- Sun City Center, FL
- NPI 1164476867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1881651644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 TURTLE BAY DR",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064054970",
"telephone_number": "203-214-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 ROBBINS ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082613",
"telephone_number": "203-573-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "JORGE",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "034599",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CT",
"license": "034599",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "034599",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.