Individual provider Active NPI

Fernando Enrique Ottino, M.D.

  • Nephrology Physician
  • Loxahatchee, FL
National Provider Identifier
1326224569
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME111442 Issued in FL
Practice address
13005 State Road 80
Suite 141
Loxahatchee, FL 33470-9206
Phone
(561) 798-4600
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME111442 FL Primary

Addresses

Primary practice location

13005 State Road 80
Suite 141
Loxahatchee, FL 33470-9206

Mailing address

13005 State Road 80
Suite 141
Loxahatchee, FL 33470-9206
Phone (561) 798-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120910000790 FL Practitioner - NephrologyPractitioner - Internal Medicine 4385790120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13005 Southern Blvd
Loxahatchee, FL 33470-9231
Phone (561) 798-4600

Hospital & facility affiliations

  • Renal Care Center - Wellington Dialysis facility, Lake Worth, FL, CCN 102594
  • Belle Glade Dialysis Center Dialysis facility, Belle Glade, FL, CCN 102571
  • Clewiston Dialysis Center Dialysis facility, Clewiston, FL, CCN 102741
  • FMC - Royal Palm Beach Dialysis facility, West Palm Beach, FL, CCN 102802
  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
  • HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Nephrology Partners LLC Nephrology CurrentSince Feb 1, 2017 Accepting new patients

Locations

13005 State Road 80
Ste 141
Loxahatchee, FL 33470
Phone (561) 793-6633

Organizations & group practices 1

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 4

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1326224569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 STATE ROAD 80",
            "address_2": "SUITE 141",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-798-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 STATE ROAD 80",
            "address_2": "SUITE 141",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-798-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTINO",
        "first_name": "FERNANDO",
        "middle_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME111442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.