Jack F Otteni, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101234631 Issued in VA

Practice address

70 Medical Center Cir
Suite 110
Fishersville, VA 22939-2273

Phone

(540) 332-5850

Fax

(540) 332-5851

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Orthopedic Surgery

Education

University of Virginia School of Medicine, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Orthopedic Associates, LTDGroup PAC ID 9032154455, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Augusta Home Care, Home health agency, Fishersville, VA, CCN 497285
• Augusta Health Hospital, Fishersville, VA, CCN 490018
• Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
• University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jotteni@svosm.gwaydirect.com
• Direct secure messaging: jack.otteni.1@14718.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Augusta Health Care, Inc

  • Skilled Nursing Facility
  • Fishersville, VA
  • NPI 1881667863

  Managing Control - Governing Body

  CMS ownership

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.

• Augusta Medical Group

  • General Practice Physician
  • Fishersville, VA
  • NPI 1245489590
  Medicare reassignment Care Compare group NPD
• Orthopedic Associates, LTD

  • Orthopaedic Surgery Physician
  • Fishersville, VA
  • NPI 1750330940
  Medicare reassignment Care Compare group
• Augusta Medical Group

  • Rural Health Clinic/Center
  • Lexington, VA
  • NPI 1265015580
  NPD

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

• Augusta Health Care, Inc

  • General Acute Care Hospital
  • Fishersville, VA
  • NPI 1053301127
  Care Compare affiliation
• Augusta Health Care, Inc

  • Home Health Agency
  • Fishersville, VA
  • NPI 1992771067
  Care Compare affiliation
• Rector & Visitors of the University of Virginia

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1780630608
  Care Compare affiliation
• Sentara RMH Medical Center

  • General Acute Care Hospital
  • Harrisonburg, VA
  • NPI 1780694372
  Care Compare affiliation

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1205885597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER CIR",
            "address_2": "SUITE 110",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392273",
            "telephone_number": "540-332-5850",
            "fax_number": "540-332-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER CIR",
            "address_2": "SUITE 110",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392273",
            "telephone_number": "540-332-5850",
            "fax_number": "540-332-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENI",
        "first_name": "JACK",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101234631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006410031",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• OB-GYN Associates Women'S Health, Inc
• Scott Olson, MD
• Nana Kwadwo Manukure Opoku, DO
• Orthopedic Associates, LTD
• Orthopedic Associates, LTD
• Daniele Pasquini Ottinger, NP
• Cindy H Packer, CNS
• Matthew Douglas Painter, FNP-C
• Edgar Arturo Palacios Gonzalez, M.D.
• Shanique R Palmer, MD

• Orthopaedic Surgery Physician in Fishersville, VA
• Providers in Fishersville, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.