Individual provider Active NPI

Anita Ott, DO

  • Family Medicine Physician
  • Drexel Hill, PA
National Provider Identifier
1013080878
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008470L Issued in PA
Practice address
5030 State Road
Suite 2-400
Drexel Hill, PA 19026-4605
Phone
(610) 394-1365
Fax
(610) 394-1368
NPI assigned
Nov 17, 2006
Last updated
Apr 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008470L PA Primary

Addresses

Primary practice location

5030 State Road
Suite 2-400
Drexel Hill, PA 19026-4605

Mailing address

5030 State Road
Suite 2-400
Drexel Hill, PA 19026
Phone (610) 394-1365

Other identifiers 1

IdentifierTypeStateIssuer
001856710MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080820000168 PA Practitioner - Family Practice 6305911710 Reassigns benefits to 1 organization
I20200507001158 DE Practitioner - Family Practice 6305911710 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Family Medicine CurrentSince May 4, 2020 Accepting new patients
Prospect Health Access Network, Inc. Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince May 4, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

84 Lantana Dr
Hockessin, DE 19707
Phone (302) 623-2800

84 Lantana Dr
Ofc
Hockessin, DE 19707
Phone (302) 623-2800

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

5030 State Rd
Ste 2-400
Drexel Hill, PA 19026
Phone (610) 394-1350

5030 State Rd
Ste 2-500
Drexel Hill, PA 19026
Phone (610) 394-1380

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1013080878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 STATE ROAD",
            "address_2": "SUITE 2-400",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "19026",
            "telephone_number": "610-394-1365",
            "fax_number": "610-394-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 STATE ROAD",
            "address_2": "SUITE 2-400",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264605",
            "telephone_number": "610-394-1365",
            "fax_number": "610-394-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008470L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001856710",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.