Individual provider Active NPI

Gregory Warren Otte, DO

  • Internal Medicine Physician
  • York, PA
National Provider Identifier
1114953072
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS004327L Issued in PA
Practice address
1600 6TH Ave
Suite 114
York, PA 17403-2641
Phone
(717) 755-1244
Fax
(717) 757-7644
NPI assigned
Jun 23, 2006
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS004327L PA Primary

Addresses

Primary practice location

1600 6TH Ave
Suite 114
York, PA 17403-2641

Mailing address

1600 6TH Ave Ste 114
York, PA 17403-2627
Phone (717) 755-1244

Other identifiers 2

IdentifierTypeStateIssuer
195352OtherPAMEDICARE
000863200MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gotte62226@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000319 PA Practitioner - Internal Medicine 7911920525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.65 of 100Reported as group
Quality
99.23
Promoting interoperability
100
Improvement activities
40
Cost
86.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS004327LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Dec 1, 2018 Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Dec 1, 2018 Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

1232 Greensprings Dr
York, PA 17402
Phone (717) 207-4800

1600 6th Ave
Ste 114
York, PA 17403
Phone (717) 755-1244

1785 4th Ave
York, PA 17403
Phone (717) 849-5474

1855 Powder Mill Rd
York, PA 17402

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/fcsserves/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1114953072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE STE 114",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032627",
            "telephone_number": "717-755-1244",
            "fax_number": "717-718-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE",
            "address_2": "SUITE 114",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032641",
            "telephone_number": "717-755-1244",
            "fax_number": "717-757-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTE",
        "first_name": "GREGORY",
        "middle_name": "WARREN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS004327L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "195352",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000863200",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gotte62226@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1600 6th Ave",
            "address_2": "SUITE 114",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174032641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.