Individual provider Active NPI

Myrta Ines Otero, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Lawrence, MA
National Provider Identifier
1275520074
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
235604 Issued in MA
Practice address
354 Merrimack St
BLDG. 1
Lawrence, MA 01843-1754
Phone
(978) 687-2321
Fax
(978) 685-7265
NPI assigned
Oct 5, 2005
Sex
Female
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 235604 MA Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 23621 NH
Pediatrics Physician 208000000X 14679 PR

Addresses

Primary practice location

354 Merrimack St
BLDG. 1
Lawrence, MA 01843-1754

Mailing address

354 Merrimack St
BLDG. 1
Lawrence, MA 01843-1754
Phone (978) 687-2321

Other practice location 1

1 Medical Center Dr
Department of Family Medicine
Lebanon, NH 03756-0001
Phone (603) 650-5000

Other practice location 2

100 Hitchcock Way
Department of Family Medicine
Manchester, NH 03104-4125
Phone (603) 695-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20230719000799 NH Practitioner - Neurology 6002137577 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14679PRMDPediatrics Physician
235604MAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Pediatrics CurrentSince Jun 12, 2023 Accepting new patients
Dartmouth-Hitchcock Clinic Pediatrics CurrentSince Jun 12, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 12, 2023 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jun 12, 2023 Accepting new patients

Locations

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

Interoperability endpoints

  • Direct secure messaging: motero63491@direct.dartmouth-hitchcock.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1275520074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST",
            "address_2": "BLDG. 1",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431754",
            "telephone_number": "978-687-2321",
            "fax_number": "978-685-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST",
            "address_2": "BLDG. 1",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431754",
            "telephone_number": "978-687-2321",
            "fax_number": "978-685-7265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "Department of Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "fax_number": "603-640-1228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hitchcock Way",
            "address_2": "Department of Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031044125",
            "country_code": "US",
            "telephone_number": "603-695-2500",
            "fax_number": "603-640-1228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO",
        "first_name": "MYRTA",
        "middle_name": "INES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MA",
            "license": "235604",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NH",
            "license": "23621",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "14679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.