Individual provider Active NPI

Otto Shill, DO

  • Internal Medicine Physician
  • Spokane Valley, WA
National Provider Identifier
1225480411
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP60842403 Issued in WA
Practice address
12810 E Nora Ave Ste F
Spokane Valley, WA 99216-1055
Phone
(509) 303-4001
Fax
(509) 286-1354
NPI assigned
Jul 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP60842403 WA Primary
Obesity Medicine (Internal Medicine) Physician 207RB0002X OP60842403 WA

Addresses

Primary practice location

12810 E Nora Ave Ste F
Spokane Valley, WA 99216-1055

Mailing address

12810 E Nora Ave Ste F
Spokane Valley, WA 99216-1055
Phone (509) 303-4001

Other practice location 1

1170 W Fairview St # A
Colfax, WA 99111-9580
Phone (509) 303-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230302001832 WA Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 9739473745 Reassigns benefits to 3 organizations
Practice locations: Spokane Valley, WA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12810 E Nora Ave
Suite F
Spokane Valley, WA 99216-1055
Phone (509) 303-4001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 3 of Whitman County CurrentSince Oct 15, 2025 Accepting new patients
Multicare Health System CurrentSince Feb 14, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Shillmed, PLLC Internal Medicine CurrentSince Dec 21, 2025 Accepting new patients
Multicare Health System CurrentSince Feb 14, 2023 Accepting new patients
Mercy Clinics Inc Past Accepting new patients

Locations

1170 W Fairview St
#A
Colfax, WA 99111
Phone (509) 303-4001

1200 W Fairview St
Colfax, WA 99111
Phone (509) 397-3435

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

12810 E Nora Ave
Ste F
Spokane Valley, WA 99216
Phone (509) 303-4001

Interoperability endpoints

  • Direct secure messaging: oshill850509@direct.multicare.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1225480411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 E NORA AVE STE F",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161055",
            "telephone_number": "509-303-4001",
            "fax_number": "509-286-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 E NORA AVE STE F",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161055",
            "telephone_number": "509-303-4001",
            "fax_number": "509-286-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 W Fairview St # A",
            "address_purpose": "LOCATION",
            "city": "Colfax",
            "state": "WA",
            "postal_code": "991119580",
            "country_code": "US",
            "telephone_number": "509-303-4001",
            "fax_number": "509-286-1354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHILL",
        "first_name": "OTTO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP60842403",
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "WA",
            "license": "OP60842403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.