Individual provider Active NPI

Dean Otto, MD

  • Emergency Medicine Physician
  • Lansdale, PA
National Provider Identifier
1184719445
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD058541-L Issued in PA
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
960306OtherABEM
MD058541-LOtherPASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000518 PA Practitioner - Emergency Medicine 1456442615 Reassigns benefits to 3 organizations

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
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

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

LicenseStateTypeSpecialty
MD058541-LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services Current Accepting new patients
HR Physician Services CurrentSince Aug 25, 2016 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Jul 25, 2023 Accepting new patients
HR Physician Services Emergency Medicine CurrentSince Aug 25, 2016 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Dec 9, 2024 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.

Hospital & facility affiliations 1

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

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

Sources for this page

Verify at the official NPI Registry.