Susan E. Otero, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C1-0025325 Issued in DE

Practice address

251 Little Falls Dr
Wilmington, DE 19808-1674

Phone

(310) 445-5999

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Susan Early Otero Professional name

Medicare fee-for-service enrollment

Enrolled in DC, MD, VA, DE4 enrollments

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 4

Specialty

Plastic and Reconstructive Surgery

Education

George Washington University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skilled Facility Health Care Solutions IncGroup PAC ID 9032299144, 60 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1104018423

  DC, DE, MD, VA

  Medicare reassignment Care Compare group NPD
• Skilled Biologics, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1376386763

  DC, DE, MD

  Medicare reassignment NPD
• Skilled Physicians Group

  • General Practice Physician
  • Glendale, CA
  • NPI 1902444623

  DC, MD, VA

  Medicare reassignment
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1205997244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 FOOTHILL BLVD STE B140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141740",
            "telephone_number": "310-445-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LITTLE FALLS DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081674",
            "telephone_number": "310-445-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Irving St NW",
            "address_2": "POB 420 South",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102927",
            "country_code": "US",
            "telephone_number": "202-877-3300",
            "fax_number": "202-877-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DC",
            "license": "MD14270",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C1-0025325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528271300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25544400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "OTERO",
            "middle_name": "EARLY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anderson Osim
• Adejoke O Osinubi, FNP
• Cynthia Ossian, COTA
• Michele Ostafy, LCSW
• John W. Ostrowski, MD
• Chinye Mukosolu Otojare, OD
• Otolaryngology Consultants PA
• Christy Ottavio, PHARMD
• Wendy K Ottenbacher, M.D.
• Otto Raul Medinilla Sr MD

• General Practice Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• General Practice Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.