DR. PAULA ANDREA ORTIZ M.D.
NPI 1619358124
Internal Medicine in West Haven, CT
About Dr. Paula Andrea Ortiz M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAULA ANDREA ORTIZ M.D. (NPI 1619358124) is an individual internal medicine provider in West Haven, Connecticut, licensed in Connecticut (61416) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Paula Andrea Ortiz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Paula Ortiz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Branford, CT 06405
- Reassigned Medicare billing, Connecticut enrollment
- 156 clinicians in this Medicare group
Derby, CT 06418
- Reassigned Medicare billing, Connecticut enrollment
- 190 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST HAVEN, CT 06516
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 Paula Ortiz's NPI number?
The NPI number for Paula Ortiz is 1619358124. It was assigned to this individual provider in the NPPES registry on June 11, 2015.
Where is Paula Ortiz located?
Paula Ortiz practices at 1 Cellini Pl Ste 102, West Haven, CT 06516. The listed phone number is (039) 326-4812.
What is Paula Ortiz's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Paula Ortiz enrolled in Medicare?
Yes. Paula Ortiz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Paula Ortiz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paula Ortiz reassigns Medicare benefits to 2 organizations: Hhc Physician Services, PLLC (Branford, CT) and Griffin Faculty Physicians, Inc. (Derby, CT). Each 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 Paula Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paula Ortiz accept?
Health plans from Anthem Blue Cross and Blue Shield list Paula Ortiz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Paula Ortiz was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Paula Andrea Ortiz, M.D. · NPI 1619358124
Internal Medicine physician in West Haven, Connecticut. Individual provider, active in the CMS NPPES registry since June 11, 2015.
## Identity
- **NPI:** 1619358124 (Entity type: Individual)
- **Enumerated:** June 11, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 61416 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CELLINI PL STE 102, West Haven, CT 06516-1666
- **Phone:** (039) 326-4812 · **Fax:** (203) 932-4051
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hhc Physician Services, PLLC (NPI 1609530237, Branford, CT); Griffin Faculty Physicians, Inc. (NPI 1598755605, Derby, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 2015
## Record status
- **NPPES last updated:** February 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619358124) · Data from the CMS NPPES public registry.