Individual provider Active NPI

Kenneth Ese Otah Sr., MD MSC FACC

  • Interventional Cardiology Physician
  • Sugar Land, TX
National Provider Identifier
1093704827
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
L7835 Issued in TX
Practice address
138 Eldridge Rd
Suite E
Sugar Land, TX 77478-4083
Phone
(281) 232-3886
Fax
(281) 232-3986
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L7835 TX
Clinical & Laboratory Immunology (Internal Medicine) Physician 207RI0001X L7835 TX
Interventional Cardiology Physician 207RI0011X MD-25039 HI
Interventional Cardiology Physician 207RI0011X L7835 TX Primary

Addresses

Primary practice location

138 Eldridge Rd
Suite E
Sugar Land, TX 77478-4083

Mailing address

138 Eldridge Rd
Suite E
Sugar Land, TX 77478-4083
Phone (281) 232-3886

Other practice location 1

755 S 11th St Ste 100A
Beaumont, TX 77701-3221
Phone (281) 888-8999

Other practice location 2

7101 S Staples St
sTE 101
Corpus Christi, TX 78413-5543
Phone (281) 888-8999

Other practice location 3

10023 Main St Ste C10
Houston, TX 77025-5251
Phone (281) 888-8999

Other practice location 4

427 W 20th Street, Ste 300
Houston, TX 77008-2429
Phone (281) 888-8999

Other practice location 5

3412 Burke Rd # 100
Pasadena, TX 77504-1805
Phone (281) 888-8999

Other practice location 6

2800 W Trenton Rd
Ste 2868
Edinburg, TX 78539-9232
Phone (281) 888-8999

Other practice location 7

2501 Paredes Line Road
B-7
Brownsville, TX 78526-1193
Phone (281) 888-8999

Other practice location 8

1713 Treasure Hills Blvd
Ste 2-B
Harlingen, TX 78550-8913
Phone (281) 888-8999

Other practice location 9

1810 Murchison Drive
Ste 104
El Paso, TX 79902-2906
Phone (281) 888-8999

Other practice location 10

1908 N Laurent St Ste 120
Victoria, TX 77901-5475
Phone (281) 888-8999

Other practice location 11

1406 E Houston Street
Ste B
Beeville, TX 78102-5346
Phone (281) 888-8999

Other practice location 12

17191 St Lukes Way Ste 280
Conroe, TX 77384-8043
Phone (281) 888-8999

Other practice location 13

6419 Polaris Drive
B2
Laredo, TX 78041-2090
Phone (281) 888-8999

Other practice location 14

1955 E Main Street
Eagle Pass, TX 78852-4714
Phone (281) 888-8999

Other practice location 15

8611 N Mopac Expy, Ste 250
Austin, TX 78759-8319
Phone (281) 888-8999

Other practice location 16

3101 State Hwy 71
Ste 101
Bastrop, TX 78602-5159
Phone (281) 888-8999

Other practice location 17

1924 Forest Ridge Drive
Ste 300
Bedford, TX 76021-8228
Phone (281) 888-8999

Other practice location 18

3319 Unicorn Lake Blvd
Ste 111
Denton, TX 76210-0121
Phone (281) 888-8999

Other identifiers 1

IdentifierTypeStateIssuer
1754541MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD, NH, IN, OH5 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
I20041213000013 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941267991 Reassigns benefits to 12 organizations
I20250811003451 SD Practitioner - Interventional Cardiology 0941267991 Reassigns benefits to 1 organization
I20251208002144 NH Practitioner - Cardiovascular Disease (Cardiology) 0941267991
I20251209001197 IN Practitioner - Cardiovascular Disease (Cardiology) 0941267991 Reassigns benefits to 1 organization
I20260428000360 OH Practitioner - Interventional Cardiology 0941267991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, shared by 9 NPIs, 138 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3730

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

1711 27TH St
Portsmouth, OH 45662-2654
Phone (740) 356-8772

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.29 of 100Reported as group
Quality
49.68
Improvement activities
0
Cost
79.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7835TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nirp Woodlands PLLC Cardiovascular Disease CurrentSince May 13, 2019 Accepting new patients
Nirp Corpus Christi PLLC Cardiovascular Disease CurrentSince Mar 1, 2018 Accepting new patients
Nirp Dallas-Fort Worth PLLC Cardiovascular Disease CurrentSince Feb 15, 2021 Accepting new patients
Nirp Laredo PLLC Cardiovascular Disease CurrentSince Oct 5, 2020 Accepting new patients
Nirp Pasadena, PLLC Cardiovascular Disease CurrentSince Oct 1, 2017 Accepting new patients
Laredo Physicians Group CurrentSince May 30, 2023 Accepting new patients
Hilo Benioff Medical Center CurrentSince Apr 7, 2025 Accepting new patients
Nirp Victoria PLLC Cardiovascular Disease CurrentSince May 1, 2018 Accepting new patients
Hilo Benioff Medical Center CurrentSince Apr 7, 2025 Accepting new patients
Kau Hospital Current Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Sanford Medical Center CurrentSince Jun 2, 2025 Accepting new patients
Nirp Beaumont, PLLC Cardiovascular Disease CurrentSince Oct 1, 2017 Accepting new patients
Total Heart Cardiovascular Consultants LLC Cardiovascular Disease CurrentSince Feb 1, 2005 Accepting new patients
Nirp Rio Grande Valley PLLC Cardiovascular Disease CurrentSince Mar 8, 2019 Accepting new patients
Porter Physician Services LLC CurrentSince Dec 1, 2025 Accepting new patients
Kau Hospital CurrentSince Apr 7, 2025 Accepting new patients
Nirp Sugar Land PLLC Cardiovascular Disease CurrentSince Oct 1, 2017 Accepting new patients
Sanford Medical Center CurrentSince Jun 2, 2025 Accepting new patients
Kau Hospital CurrentSince Apr 7, 2025 Accepting new patients
Appledore Medical Group, Inc Interventional Cardiology CurrentSince Sep 26, 2025 Accepting new patients
Uttam Tripathy MD PA Past Accepting new patients
Vascular Anesthesia Associates PLLC Interventional Cardiology Past Accepting new patients
Center for General & Laparoscopic Surgery PA Past Accepting new patients
Dzung D Dang DPM PA PastSince Jul 1, 2004 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
MHS Physicians of Texas Cardiovascular Disease Past Accepting new patients

Locations (25 of 33)

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

100 McGregor St
#B
Manchester, NH 03102
Phone (603) 663-6431

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

755 S 11th St
Ste 100A
Beaumont, TX 77701
Phone (409) 729-8088

1924 Forest Ridge Dr
Ste 300
Bedford, TX 76021

1406 E Houston St
Ste B
Beeville, TX 78102
Phone (361) 542-1426

2501 Paredes Rd
Ste B7
Brownsville, TX 78526

7101 S Staples St
Corpus Christi, TX 78413
Phone (361) 814-9898

7101 S Staples St
Ste 101
Corpus Christi, TX 78413
Phone (361) 985-0323

1341 W Mockingbird Ln
Dallas, TX 75247
Phone (214) 217-7520

3319 Unicorn Lake Blvd
Ste 111
Denton, TX 76210
Phone (866) 490-3668

1955 E Main St
Eagle Pass, TX 78852
Phone (830) 773-7474

2800 W Trenton Rd
Ste 2868
Edinburg, TX 78539

1810 Murchison Dr
Ste 104
El Paso, TX 79902
Phone (280) 888-8999

1502 Midlane Dr
Ste 111
Harlingen, TX 78552
Phone (512) 287-1532

1713 Treasure Hills Blvd
Ste 2B
Harlingen, TX 78550
Phone (956) 242-4452

6801 McPherson Rd
Laredo, TX 78041
Phone (956) 721-0200

10710 McPherson Rd
Ste 300
Laredo, TX 78045
Phone (956) 489-5454

6419 Polaris Dr
#B2
Laredo, TX 78041

6419 Polaris Dr
Ste B2
Laredo, TX 78041

Interoperability endpoints

  • Direct secure messaging: kotah36408@hhsc.direct-ci.com

Organizations & group practices 29

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 29

Hospital & facility affiliations 7

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1093704827",
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    "practiceLocations": [
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            "address_1": "7101 S Staples St",
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            "address_1": "427 W 20th Street, Ste 300",
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            "postal_code": "770082429",
            "country_code": "US",
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            "postal_code": "775041805",
            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "2800 W TRENTON RD",
            "address_2": "STE 2868",
            "address_purpose": "LOCATION",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399232",
            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "2501 Paredes Line Road",
            "address_2": "B-7",
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            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785261193",
            "country_code": "US",
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            "country_name": "United States",
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        {
            "address_1": "1713 Treasure Hills Blvd",
            "address_2": "Ste 2-B",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508913",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Murchison Drive",
            "address_2": "Ste 104",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799022906",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1908 N LAURENT ST STE 120",
            "address_purpose": "LOCATION",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015475",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
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        {
            "address_1": "1406 E Houston Street",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025346",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17191 ST LUKES WAY STE 280",
            "address_purpose": "LOCATION",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848043",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6419 Polaris Drive",
            "address_2": "B2",
            "address_purpose": "LOCATION",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412090",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
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        {
            "address_1": "1955 E Main Street",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
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            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8611 N Mopac Expy, Ste 250",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598319",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
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        {
            "address_1": "3101 State Hwy 71",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786025159",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1924 Forest Ridge Drive",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760218228",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3319 Unicorn Lake Blvd",
            "address_2": "Ste 111",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762100121",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTAH",
        "first_name": "KENNETH",
        "middle_name": "ESE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD MSC FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L7835",
            "primary": false
        },
        {
            "code": "207RI0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": "TX",
            "license": "L7835",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "MD-25039",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "L7835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1754541",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.