Mary Otoo, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01082513A Issued in IN

Practice address

2101 Dubois Dr
Warsaw, IN 46580-3210

Phone

(574) 267-3200

Fax

(574) 372-7649

NPI assigned

Sep 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

General Surgery

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kosciusko Medical Group LLCGroup PAC ID 5496809956, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133

Merit-based Incentive Payment System (MIPS)

Final score

90.99 of 100Reported as apm

Quality

77.41

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Kosciusko Medical Group LLC

  • Family Medicine Physician
  • Warsaw, IN
  • NPI 1932349594

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Goshen Health System Inc

  • Radiology Clinic/Center
  • Goshen, IN
  • NPI 1588190284

  Multi-Specialty

  NPD (past)
• Geary County Hospital

  • General Acute Care Hospital
  • Junction City, KS
  • NPI 1063549327
  NPD (past)
• Geary County Hospital

  • Family Medicine Physician
  • Junction City, KS
  • NPI 1679609028
  NPD (past)

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

• Warsaw Health System LLC

  • General Acute Care Hospital
  • Warsaw, IN
  • NPI 1164475711
  Care Compare affiliation

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1124278775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 POINTE INVERNESS WAY STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047934",
            "telephone_number": "260-479-3513",
            "fax_number": "260-479-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 DUBOIS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803210",
            "telephone_number": "574-267-3200",
            "fax_number": "574-372-7649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 SAINT MARYS RD",
            "address_2": "STE 201",
            "address_purpose": "LOCATION",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414139",
            "country_code": "US",
            "telephone_number": "785-238-4131 x6070",
            "fax_number": "785-210-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTOO",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0436277",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01082513A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Elaine Oppy, COTA
• Optimal Health Inc.
• Rex Orcutt
• Orthopaedics Northeast, PC
• Orthopaedics-Indianapolis, Inc
• Carolyn Otto
• Cierra Ousley
• Jaimie M Ove, MA
• Alta Jane Overholser, MA, LMHC
• PA Labs Inc

• Surgery Physician in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.