Individual provider Active NPI

Adria Elene Ottoboni, MD

  • Emergency Medicine Physician
  • Sahuarita, AZ
National Provider Identifier
1083670475
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
75088 Issued in AZ
Practice address
16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629-0047
Phone
(520) 416-7100
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A82458 CA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X A82458 WA
Emergency Medicine Physician 207P00000X 75088 AZ Primary

Addresses

Primary practice location

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629-0047

Mailing address

1700 Mount Vernon Ave
Room 1241
Bakersfield, CA 93306-4018
Phone (661) 326-2220

Other practice location 1

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Other identifiers 1

IdentifierTypeStateIssuer
00A824580MedicaidWA

Other names 1

  • Dr. Adria Ottoboni Winter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20040629000738 CA Practitioner - Emergency Medicine 6800872854 Reassigns benefits to 4 organizations
I20250109004170 AZ Practitioner - Emergency Medicine 6800872854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Prescott, IncGroup PAC ID 5698662724, 9 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone (928) 445-2700

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

Hospital & facility affiliations

  • Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.65
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75088AZMDEmergency Medicine Physician
A82458CAMDEmergency Medicine Physician
A82458WAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Jul 1, 2016 Accepting new patients
Southern Inyo Healthcare District CurrentSince Mar 27, 2019 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Jan 7, 2025 Accepting new patients
Southern Inyo Healthcare District CurrentSince Mar 27, 2019 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 1, 2016 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Feb 25, 2019 Accepting new patients
Bakersfield Emergency Medical Corp. Emergency Medicine Past Accepting new patients
Buena Vista Emergency Medical Services Emergency Medicine Past Accepting new patients
Central California Emergency Medicine Physicians Emergency Medicine Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

Organizations & group practices 11

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.

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1083670475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "address_2": "ROOM 1241",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2220",
            "fax_number": "661-326-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 S RANCHO SAHUARITA BLVD",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856290047",
            "telephone_number": "520-416-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933064018",
            "country_code": "US",
            "telephone_number": "661-326-2000",
            "fax_number": "661-326-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTOBONI",
        "first_name": "ADRIA",
        "middle_name": "ELENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A82458",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WA",
            "license": "A82458",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "75088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A824580",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIA",
            "last_name": "WINTER",
            "middle_name": "OTTOBONI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sahuarita, AZ

Sources for this page

Verify at the official NPI Registry.