Active NPI
Gregory Alan Otto, PA-C
- Physician Assistant
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.002057RX
- Practice address
- 1125 Hospital Dr FL 1
Toledo, OH 43614-8001 - Phone
- (419) 383-3761
- Fax
- (419) 383-2932
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.002057RX | OH | Primary |
| Physician Assistant | 363A00000X | 2057 | OH |
Addresses
Primary practice location
1125 Hospital Dr FL 1
Toledo, OH 43614-8001
Mailing address
3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0697724 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 Hospital Dr
Toledo, OH 43614-8001
Phone (419) 383-5288
3333 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5550
3355 Glendale Ave
Toledo, OH 43614-2426
Phone (419) 383-5614
Hospital & facility affiliations
- University of Toledo Medical Center
- Mercy St Vincent Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.34 of 100
- Quality
- 69.17
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2057 | OH | MD | Physician Assistant |
| 50.002057RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Toledo Physicians LLC | Physician Assistant | Current | Accepting new patients |
| Medical University of Ohio at Toledo | Current | Accepting new patients | |
| University of Toledo Physicians LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
L4189
Columbus, OH 43260
1125 Hospital Dr
Fl 1
Toledo, OH 43614
Phone (419) 383-3761
3000 Arlington Ave
#1094
Toledo, OH 43614
Phone (419) 383-3761
3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100
3000 Arlington Ave
#1108
Toledo, OH 43614
Phone (419) 383-5330
3000 Arlington Ave
Stop 1108
Toledo, OH 43614
3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614
1125 Hospital Dr
Toledo, OH 43614
Phone (419) 383-3761
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
3065 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3818
Interoperability endpoints
- gotto25942@direct.utoledo.edu
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
Physician Assistant
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1669005534
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1043340797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE STOP 1108",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 HOSPITAL DR FL 1",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436148001",
"telephone_number": "419-383-3761",
"fax_number": "419-383-2932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "GREGORY",
"middle_name": "ALAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.002057RX",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "2057",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0697724",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.