Individual provider Active NPI

Richard Drew Otto, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1336112341
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78270 Issued in FL
Practice address
3550 Buschwood Park Dr
Suite 350
Tampa, FL 33618-4461
Phone
(813) 936-5000
Fax
(813) 936-5001
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78270 FL Primary

Addresses

Primary practice location

3550 Buschwood Park Dr
Suite 350
Tampa, FL 33618-4461

Mailing address

3550 Buschwood Park Dr
Suite 350
Tampa, FL 33618-4461
Phone (813) 936-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78270FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Senior Health Care Mobile Physician Services LLC PastSince Jul 1, 2007 Accepting new patients
Vocatus Medical Management Services Internal Medicine PastSince Apr 25, 2005 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1336112341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 BUSCHWOOD PARK DR",
            "address_2": "SUITE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184461",
            "telephone_number": "813-936-5000",
            "fax_number": "813-936-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 BUSCHWOOD PARK DR",
            "address_2": "SUITE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184461",
            "telephone_number": "813-936-5000",
            "fax_number": "813-936-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "RICHARD",
        "middle_name": "DREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.