Individual provider Active NPI

Ben E Oteyza, M.D.

  • Surgery Physician
  • Baltimore, MD
National Provider Identifier
1154421790
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D08791 Issued in MD
Practice address
6615 Reisterstown Rd
Suite 205a
Baltimore, MD 21215-2686
Phone
(410) 486-2298
Fax
(410) 358-6551
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D08791 MD Primary
General Practice Physician 208D00000X D08791 MD

Addresses

Primary practice location

6615 Reisterstown Rd
Suite 205a
Baltimore, MD 21215-2686

Mailing address

PO Box 30158
Baltimore, MD 21270-0158
Phone (410) 486-2298

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D08791MDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Physicians Associates General Practice Past Accepting new patients

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1154421790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30158",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212700158",
            "telephone_number": "410-486-2298",
            "fax_number": "410-358-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD",
            "address_2": "SUITE 205A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "410-486-2298",
            "fax_number": "410-358-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTEYZA",
        "first_name": "BEN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D08791",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D08791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.