Individual provider Active NPI

Christopher Otteni, M.D.

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1073969713
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME159278 Issued in FL
Practice address
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone
(813) 745-7365
Fax
(813) 449-8618
NPI assigned
May 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME159278 FL Primary

Addresses

Primary practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Mailing address

PO Box 198441
Atlanta, GA 30384-8441
Phone (813) 745-7365

Other practice location 1

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 744-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IA, NY, FL, DC5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20210713000382 MD Practitioner - Diagnostic Radiology 2961795612 Reassigns benefits to 1 organization
I20221205002873 IA Practitioner - Diagnostic Radiology 2961795612 Reassigns benefits to 1 organization
I20230217001397 NY Practitioner - Diagnostic Radiology 2961795612 Reassigns benefits to 1 organization
I20230228002371 FL Practitioner - Diagnostic RadiologyPractitioner - Pulmonary Disease 2961795612 Reassigns benefits to 7 organizations
I20230508000021 DC Practitioner - Diagnostic Radiology 2961795612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians
Cira Michigan PCGroup PAC ID 7113355264, 89 clinicians

Practice addresses (Care Compare)

1111 Crandon Blvd
Apt A707
Key Biscayne, FL 33149-2615
Phone (309) 740-4272

1207 Vermeer Ave
Gaithersburg, MD 20878-4875
Phone (309) 740-4272

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (888) 860-2778

29735 Picana LN
Wesley Chapel, FL 33543-6652
Phone (309) 740-4272

4537 Blessed Place Dr
Fort Lauderdale, FL 33309-1010
Phone (309) 740-4272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
85
Improvement activities
40
Cost
74.49

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
75
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
318742NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Dec 16, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 25, 2025 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Diagnostic Radiology CurrentSince Feb 17, 2025 Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology CurrentSince May 17, 2023 Accepting new patients
Cira Michigan PC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince May 17, 2023 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2021 Accepting new patients
Johns Hopkins University Current Accepting new patients
Montefiore Medical Center CurrentSince Dec 16, 2022 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Sep 20, 2022 Accepting new patients

Locations (25 of 38)

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

40124 Highway 27
Davenport, FL 33837
Phone (863) 419-2500

3016 Dyer Blvd
Kissimmee, FL 34741
Phone (941) 782-9456

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

6150 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-1693

2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone 8636882334117

3221 S Florida Ave
Ste A
Lakeland, FL 33803
Phone (863) 577-8596

3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

2135 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1250

1417 Lakeland Hills Blvd
Ste 102
Lakeland, FL 33805
Phone (863) 577-0316

8330 Lakewood Ranch Blvd
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 782-2100

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

6760 Fruitville Rd
Sarasota, FL 34240
Phone (941) 378-7500

12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (813) 745-2720

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

16504 US 301 S
Wimauma, FL 33598
Phone (813) 642-1000

Networks

  • Freedom Health HMO Network
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: cotteni844950@direct.hopkinsmedicine.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1073969713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198441",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848441",
            "telephone_number": "813-745-7365",
            "fax_number": "813-449-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 USF MAGNOLIA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129416",
            "telephone_number": "813-745-7365",
            "fax_number": "813-449-8618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-744-3229",
            "fax_number": "252-744-3924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTENI",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME159278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.