Active NPI
Dean Otto, MD
- Emergency Medicine Physician
- Lansdale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD058541-L
- Practice address
- 100 Medical Campus Dr
Lansdale, PA 19446-1259 - Phone
- (215) 361-4440
- NPI assigned
- Oct 4, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD058541-L | PA | Primary |
Addresses
Primary practice location
100 Medical Campus Dr
Lansdale, PA 19446-1259
Mailing address
12265 Townsend Road
Philadelphia, PA 19154
Phone (215) 856-1010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 960306 | Other | ABEM | |
| MD058541-L | Other | PA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Emergency Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 938-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD058541-L | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HR Physician Services | Current | Accepting new patients | |
| HR Physician Services | Current | Accepting new patients | |
| Medical Services of Suffolk County PC | Emergency Medicine | Current | Accepting new patients |
| HR Physician Services | Emergency Medicine | Current | Accepting new patients |
| Small Hospital Innovations LLC | Emergency Medicine | Current | Accepting new patients |
| Roxborough Emergency Physician Associates, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Associates of Pennsylvania, PC | Emergency Medicine | Past | Accepting new patients |
| SCHC Pediatric Associates, LLC | Past | Accepting new patients | |
| Main Line Emergency Med Associates LLC | Emergency Medicine | Past | Accepting new patients |
| Abington Emergency Physician Associates PC | Emergency Medicine | Past | Accepting new patients |
| Colonial Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200
501 Bath Rd
Ph
Bristol, PA 19007
Phone (215) 785-9200
501 Bath Rd
Lowr
Bristol, PA 19007
Phone (215) 785-9200
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000
5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334
Organizations & group practices 11
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.
-
- Obstetrics & Gynecology Physician
- Meadowbrook, PA
- NPI 1881696698
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1811235724
-
- Emergency Medicine Physician
- Meadowbrook, PA
- NPI 1508868506
-
- Internal Medicine Physician
- Huntingdon Valley, PA
- NPI 1679450910
-
- Emergency Medicine Physician
- Abington, PA
- NPI 1659359099
-
- Emergency Medicine Physician
- Lansdale, PA
- NPI 1609828656
-
- Emergency Medicine Physician
- Hanover, PA
- NPI 1619990900
-
- Emergency Medicine Physician
- Paoli, PA
- NPI 1316919368
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1538250477
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1255363578
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadowbrook, PA
- NPI 1750371522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1184719445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12265 TOWNSEND ROAD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19154",
"telephone_number": "215-856-1010",
"fax_number": "215-698-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CAMPUS DR",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461259",
"telephone_number": "215-361-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "DEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD058541-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABEM",
"identifier": "960306",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD058541-L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
- Ophthalmic Associates, P.C.
- Option Companion Care LLC
- Oral & Maxillofacial Surgical Associates
- Jennifer Gleva Orlic, CRNP
- Otolaryngology Plastic Surgery Associates, PC
- PA Lice & Easy, LLC
- PA Pediatric Dental Laser Center LLC
- Teresa De Jesus Palacios Romero
- Krupa K Pandya, DMD
- Darshika Pansuriya, DOCTOR OF PHARMACY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.