Individual provider Active NPI

Damian Franchesco Otano, FNP-BC

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1144933797
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2022091346 Issued in FL
Practice address
3431 NE 1St Ave
Miami, FL 33137-3981
Phone
(786) 527-2693
Fax
(786) 527-2692
NPI assigned
Dec 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022091346 FL Primary

Addresses

Primary practice location

3431 NE 1St Ave
Miami, FL 33137-3981

Mailing address

3431 NE 1St Ave
Miami, FL 33137-3981
Phone (786) 527-2693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022091346FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vein and Skin LLC CurrentSince Sep 27, 2023 Accepting new patients

Locations

3431 NE 1st Ave
Miami, FL 33137
Phone (786) 527-2693

Interoperability endpoints

  • Direct secure messaging: dotano@longwillderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1144933797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 NE 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373981",
            "telephone_number": "786-527-2693",
            "fax_number": "786-527-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 NE 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373981",
            "telephone_number": "786-527-2693",
            "fax_number": "786-527-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTANO",
        "first_name": "DAMIAN",
        "middle_name": "FRANCHESCO",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2022091346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.