Individual provider Active NPI

Mariela Jose Morales Jimenez, M.D.

  • Internal Medicine Physician
  • Glastonbury, CT
National Provider Identifier
1962760348
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
067074 Issued in CT
Practice address
447 Naubuc Ave Ste 112
Glastonbury, CT 06033-1075
Phone
(860) 266-4686
Fax
(860) 266-4688
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 067074 CT Primary

Addresses

Primary practice location

447 Naubuc Ave Ste 112
Glastonbury, CT 06033-1075

Mailing address

447 Naubuc Ave Ste 112
Glastonbury, CT 06033-1075
Phone (860) 266-4686

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
I20220614001770 CT Practitioner - Internal Medicine 2163737875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
067074CTMDInternal Medicine Physician
BP10044079TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital Internal Medicine CurrentSince Jun 20, 2022 Accepting new patients
Hartford Hospital CurrentSince Jun 20, 2022 Accepting new patients

Locations

132 Jefferson St
Hartford, CT 06106
Phone (860) 972-0200

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: mariela.moralesjimenez@xdr.hhchealthdirect.org

Organizations & group practices 2

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 3

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1962760348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 NAUBUC AVE STE 112",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331075",
            "telephone_number": "860-266-4686",
            "fax_number": "860-266-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 NAUBUC AVE STE 112",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331075",
            "telephone_number": "860-266-4686",
            "fax_number": "860-266-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES JIMENEZ",
        "first_name": "MARIELA",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "067074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.