Individual provider Active NPI

Jorge Enrique Otero, M.D.

  • Emergency Medicine Physician
  • Waterbury, CT
National Provider Identifier
1881651644
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
034599 Issued in CT
Practice address
64 Robbins St
Waterbury, CT 06708-2613
Phone
(203) 573-6205
NPI assigned
Apr 27, 2006
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20031229000455 CT Practitioner - Internal MedicinePractitioner - Emergency Medicine 2668370685 Reassigns benefits to 2 organizations
I20230330002267 VT Practitioner - Emergency Medicine 2668370685 Reassigns benefits to 5 organizations
I20230510003336 FL Practitioner - Emergency Medicine 2668370685 Reassigns benefits to 2 organizations
I20251209000554 MA Practitioner - Emergency Medicine 2668370685 Reassigns benefits to 3 organizations

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 IncGroup PAC ID 3678481405, shared by 15 NPIs, 104 clinicians
Bluewater Emergency Partners of Brunswick, LLCGroup PAC ID 3375774227, 151 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians

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

LicenseStateTypeSpecialty
034599CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC Emergency Medicine CurrentSince Jul 19, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Jun 12, 2025 Accepting new patients
North Country Hospital & Health Center Inc Emergency Medicine CurrentSince Jan 19, 2026 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Mar 24, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Oct 30, 2025 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Nov 3, 2025 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Nov 3, 2025 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
The Charlotte Hungerford Hospital Emergency Medicine CurrentSince Dec 1, 2013 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Dec 1, 2013 Accepting new patients
Fairview Hospital CurrentSince Nov 3, 2025 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Mar 24, 2023 Accepting new patients
Fairview Hospital CurrentSince Nov 3, 2025 Accepting new patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Emergency Physicians of Connecticut PC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Nov 3, 2025 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

  • Direct secure messaging: 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.

View all 22

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.