James Otto, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R1F06 Issued in MO

Practice address

333 E Huron St
Chicago, IL 60611-3004

Phone

(312) 469-4136

Fax

(312) 469-2134

NPI assigned

Sep 25, 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

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295835452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 N MOHAWK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606107492",
            "telephone_number": "312-469-4136",
            "fax_number": "312-469-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113004",
            "telephone_number": "312-469-4136",
            "fax_number": "312-469-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R1F06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela S. Ottery, PT
• Sebastian Otto-Meyer, MD
• Alicia Otto, M.S
• Carolyn Elizabeth Otto, CRNA
• Ezra Otto, FNP-BC
• Kelsey Elizabeth Otto, MS, RD, LD, CNSC
• Lisa Otto, M.A. CCC-SLP
• Natalie Bach Otto, MD
• Mary Otts
• Onyekachi Otugo

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.