Nikole R Otahal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12349 Issued in TX

Practice address

5917 Crosstown Expressway SH 286
Corpus Christi, TX 78417

Phone

(361) 854-0811

NPI assigned

Nov 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Texas Medical Branch at Galveston, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Orthopedic Associates of Corpus ChristiGroup PAC ID 3274520242, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trio Home Health Care Inc Home health agency, Corpus Christi, TX, CCN 678428
• Santa Fe Health Care Inc Home health agency, Benavides, TX, CCN 453121
• Christus Spohn Hospital Kleberg Hospital, Kingsville, TX, CCN 450163

Merit-based Incentive Payment System (MIPS)

Final score

79.43 of 100Reported as group

Quality

76.55

Promoting interoperability

96

Improvement activities

40

Cost

58.22

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nikole.otahal.1@15288.direct.athenahealth.com

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.

• Orthopedic Associates of Corpus Christi

  • Orthopaedic Surgery Physician
  • Corpus Christi, TX
  • NPI 1235170283

  Physician Assistant, TX

  Medicare reassignment Care Compare group NPD
• Orthopedic Associates of Corpus Christi

  • Durable Medical Equipment & Medical Supplies
  • Corpus Christi, TX
  • NPI 1366635351
  Care Compare group
• Shea Physical Therapy Specialists LLC

  • Rehabilitation Clinic/Center
  • Corpus Christi, TX
  • NPI 1427634245
  Care Compare group
• Orthopedic Associates of Corpus Christi

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Corpus Christi, TX
  • NPI 1710090089
  NPD
• South Padre Island Pediatric Center

  • Specialist
  • Corpus Christi, TX
  • NPI 1548450190
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Kingsville, TX
  • NPI 1093783391

  Hospital

  Care Compare affiliation
• Santa Fe Healthcare, Inc.

  • Home Health Agency
  • Benavides, TX
  • NPI 1669565420
  Care Compare affiliation
• Trio Home Health Inc,

  • Home Health Agency
  • Corpus Christi, TX
  • NPI 1861529471
  Care Compare affiliation

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1063989689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 COUNTY ROAD 3101",
            "city": "ORANGE GROVE",
            "state": "TX",
            "postal_code": "783729681",
            "telephone_number": "210-835-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 CROSSTOWN EXPRESSWAY SH 286",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-854-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTAHAL",
        "first_name": "NIKOLE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve I Oshman, M.D.
• Adebayo A Oshodi, MD
• Oso Bay Healthcare LLC
• Patsy Osterloh, M.A., CCC-SLP
• Osvaldo a Brusco MD PA
• Ann Marie Othold
• Melanie Ottenbacher, M.D.
• Bailey Alyssa Otter
• Charlotte Otto, M.S., L.P.C.-S.
• Outsource Diagnostics LCC

• All providers in Corpus Christi, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.

Verify at the official NPI Registry.