NPIMap

Individual provider Active NPI

Mallory Otto, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Saratoga Springs, NY
National Provider Identifier
1124317532
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
272535 Issued in NY
Practice address
119 Lawrence St Ste a
Saratoga Springs, NY 12866-1346
Phone
(518) 886-5060
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 272535 NY Primary

Addresses

Primary practice location

119 Lawrence St Ste a
Saratoga Springs, NY 12866-1346

Mailing address

119 Lawrence St Ste a
Saratoga Springs, NY 12866-1346
Phone (518) 886-5060

Other practice location 1

1600 SW Archer Rd
UF Health Shands
Gainesville, FL 32610-2610
Phone (352) 273-9212

Other practice location 2

119 Lawrence St Ste A
Saratoga Springs, NY 12866-1346
Phone (518) 886-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190531000238 NY Practitioner - Geriatric Medicine 0941514384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
JS Weill Medical College, Cornell University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, shared by 7 NPIs, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272535NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Jul 1, 2019 Accepting new patients
Saratoga Hospital CurrentSince Feb 9, 2022 Accepting new patients
Saratoga Hospital CurrentSince Jul 1, 2019 Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

119 Lawrence St
Ste A
Saratoga Springs, NY 12866
Phone (518) 886-5060

665 Saratoga Rd
Ste 100
Wilton, NY 12831
Phone (518) 363-8815

Interoperability endpoints

  • Direct secure messaging: motto100742@albanymed.direct-ci.com
  • Direct secure messaging: motto183607@direct.shands.ufl.edu

Organizations & group practices 5

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1124317532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LAWRENCE ST STE A",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661346",
            "telephone_number": "518-886-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LAWRENCE ST STE A",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661346",
            "telephone_number": "518-886-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_2": "UF Health Shands",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326102610",
            "country_code": "US",
            "telephone_number": "352-273-9212",
            "fax_number": "352-265-7228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Lawrence St Ste A",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661346",
            "country_code": "US",
            "telephone_number": "518-886-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTO",
        "first_name": "MALLORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "272535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.