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ORANGE INTERNAL MEDICINE, LLC
NPI 1518051002
Internal Medicine in Orange, CT

Active since October 02, 2006CLIA 07D1041461 · Waiver
240 INDIAN RIVER RD, SUITE C2, ORANGE, CT 06477(203) 795-3617(203) 795-3618 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Orange Internal Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORANGE INTERNAL MEDICINE, LLC (NPI 1518051002) is a healthcare organization registered as an internal medicine in Orange, Connecticut and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Azim Salim Fahmi, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1518051002
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameORANGE INTERNAL MEDICINE, LLC
Location Address240 INDIAN RIVER RD, SUITE C2Orange, CT 06477-3649
Mailing AddressPo Box 762Orange, CT 06477-0762 · (203) 795-3617 · Fax (203) 795-3618
Phone(203) 795-3617
Fax(203) 795-3618
Organization SubpartNo
Authorized OfficialAzim Salim FahmiDirector Of Operations · (203) 795-3617
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 13, 2013
✔ NPI 1518051002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
240 INDIAN RIVER RD, Orange, CT 06477
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Other Identifiers 1

Medicare PINC3190

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orange Internal Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Orange Internal Medicine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nasiha Fahmi
Internal Medicine
NPI 1629113980
240 INDIAN RIVER RD SUITE C2
Orange, CT 06477
(203) 795-3617
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1041461

Orange Internal Medicine, LLC · Orange, CT
Active · expires Jun 2, 2027
CLIA Number07D1041461
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorNasiha Fahmi MD
Laboratory Phone(203) 795-3617
Laboratory LocationOrange Internal Medicine, LLC240 Indian River Rd Suite C2, Orange, CT 06477
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orange Internal Medicine, LLC's NPI number?

The NPI number for Orange Internal Medicine, LLC is 1518051002. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Orange Internal Medicine, LLC located?

Orange Internal Medicine, LLC is located at 240 Indian River Rd Suite C2, Orange, CT 06477. The listed phone number is (203) 795-3617.

What is Orange Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Orange Internal Medicine, LLC enrolled in Medicare?

Yes. Orange Internal Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orange Internal Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Orange Internal Medicine, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Orange Internal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1041461) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Orange Internal Medicine, LLC was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.