Active NPI
James A Otis, M.D.
- Neurology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 57981
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 421-1401
- Fax
- (508) 421-1490
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 57981 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
281 Lincoln St
Provider Enrollment
Worcester, MA 01605-2371
Phone (774) 366-9653
Other practice location 1
725 Albany St
Shapiro 7th Floor, Suite 7B
Boston, MA 02118-2526
Phone (617) 638-8456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110047023A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- New York Medical College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57981 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Boston University Neurosurgical Associates, Inc. | Past | Accepting new patients |
Locations
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
281 Lincoln St
Worcester, MA 01605
Phone (508) 334-8015
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Neurological Surgery Physician
- Boston, MA
- NPI 1275570608
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1184687618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 LINCOLN ST",
"address_2": "PROVIDER ENROLLMENT",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052371",
"telephone_number": "774-366-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-421-1401",
"fax_number": "508-421-1490"
}
],
"practiceLocations": [
{
"address_1": "725 Albany St",
"address_2": "Shapiro 7th Floor, Suite 7B",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182526",
"country_code": "US",
"telephone_number": "617-638-8456",
"fax_number": "617-638-8465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTIS",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2025-07-08",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "57981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110047023A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.