Individual provider Active NPI

Hans Frederick Otto, M.D.

  • Allergy & Immunology Physician
  • Florence, KY
National Provider Identifier
1215924477
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
44263 Issued in KY
Practice address
5001 Houston Rd
Florence, KY 41042
Phone
(859) 980-7180
Fax
(855) 656-7325
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 01068802A IN
Allergy & Immunology Physician 207K00000X 44263 KY Primary

Addresses

Primary practice location

5001 Houston Rd
Florence, KY 41042

Mailing address

9800 Shelbyville Rd
Suite #220
Louisville, KY 40223-2992
Phone (502) 429-8585

Other identifiers 1

IdentifierTypeStateIssuer
7100159850MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Hans.Otto.familyallergyasthma@FAA.meditab.direct-ci.com PSF PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110321000063 IN Practitioner - Allergy/Immunology 1254514888 Reassigns benefits to 1 organization
I20110721000193 KY Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 1254514888 Reassigns benefits to 1 organization
I20180829003474 OH Practitioner - Allergy/Immunology 1254514888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

209 Rivers Edge Dr
Milford, OH 45150-2592
Phone (513) 274-2230

2604 Michigan Rd
Madison, IN 47250-2471
Phone (812) 265-3300

5001 Houston Rd
Florence, KY 41042-4852
Phone (859) 980-7180

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC Allergy & Immunology CurrentSince Jul 25, 2011 Accepting new patients
Inspired Medical Services, LLC PastSince Mar 1, 2015 Accepting new patients

Locations (25 of 28)

485 S Landmark Ave
Bloomington, IN 47403
Phone (812) 334-1198

1401 Veterans Pkwy
Ste 500
Clarksville, IN 47129

1101 N National Rd
Columbus, IN 47201
Phone (812) 314-7046

313 Federal Dr NW
Ste 120
Corydon, IN 47112

8937 Southpointe Dr
Ste C2
Indianapolis, IN 46227
Phone (317) 215-4580

2604 Michigan Rd
Madison, IN 47250
Phone (812) 265-3300

3003 Charlestown Xing
Ste D
New Albany, IN 47150
Phone (812) 945-5653

3003 Charlestown Xing
New Albany, IN 47150
Phone (812) 945-5653

4400 Weston Pointe Dr
Ste 150
Zionsville, IN 46077
Phone (317) 732-4046

111 Wildflower Ln
Ste A
Campbellsvlle, KY 42718
Phone (270) 469-3408

2407 Ring Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 982-2112

5001 Houston Rd
Florence, KY 41042
Phone (859) 252-6500

3130 Mapleleaf Dr
Ste 170
Lexington, KY 40509
Phone (859) 263-1900

3165 Beaumont Centre Cir
Ste 180
Lexington, KY 40513
Phone (859) 629-4448

9800 Shelbyville Rd
Ste 220
Louisville, KY 40223
Phone (502) 429-8585

8109 Bardstown Rd
Louisville, KY 40291
Phone (502) 384-4555

3930 DuPont Cir
Louisville, KY 40207
Phone 50242616211212

1261 Goss Ave
Louisville, KY 40217

4121 Shelbyville Rd
Ste 2
Louisville, KY 40207

89 Carothers Rd
Newport, KY 41071
Phone (859) 445-0306

2001 Walmart Way
Radcliff, KY 40160
Phone (270) 600-3099

1530 Midland Trl
Ste 4
Shelbyville, KY 40065
Phone (502) 633-7316

3 Health Dr
Chillicothe, OH 45601
Phone (614) 889-5001

6252 Wilmington Pike
Ste B
Dayton, OH 45459
Phone (937) 234-4919

7927 Jessies Way
Hamilton, OH 45011
Phone (513) 894-0500

Interoperability endpoints

  • Direct secure messaging: hans.otto.familyallergyasthma@faa.meditab.direct-ci.com

Organizations & group practices 2

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1215924477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD",
            "address_2": "SUITE #220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HOUSTON RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-980-7180",
            "fax_number": "855-656-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "HANS",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "01068802A",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "44263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100159850",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hans.Otto.familyallergyasthma@FAA.meditab.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "PSF PLLC",
            "address_1": "9800 Shelbyville RD",
            "address_2": "STE 220",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.