Individual provider Active NPI

Christopher S Ottiano, M.D.

  • Specialist
  • Johnston, RI
National Provider Identifier
1376524868
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10215 Issued in RI
Practice address
1526 Atwood Ave
Suite 200
Johnston, RI 02919-3289
Phone
(401) 270-5395
Fax
(401) 270-7635
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10215 RI Primary
Specialist 174400000X 226505 MA

Addresses

Primary practice location

1526 Atwood Ave
Suite 200
Johnston, RI 02919-3289

Mailing address

1526 Atwood Ave
Suite 200
Johnston, RI 02919-3289
Phone (401) 270-5395

Other identifiers 9

IdentifierTypeStateIssuer
1700719OtherRIUHC
406994OtherRITUFTS
7056858MedicaidRI
AA53166OtherRIHARVARD PILGRIM
27754OtherBCBSRI - BLUE SHIELD
27668OtherRINHP
CIGNAOtherRIPR6379283
407203OtherRIBCBSRI - BLUE CHIP
7870190OtherRIAETNA

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
226505MAMDSpecialist
10215RIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Neurosurgical Institute, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopher.ottiano.1@9678.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10187/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1376524868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 ATWOOD AVE",
            "address_2": "SUITE 200",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193289",
            "telephone_number": "401-270-5395",
            "fax_number": "401-270-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 ATWOOD AVE",
            "address_2": "SUITE 200",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193289",
            "telephone_number": "401-270-5395",
            "fax_number": "401-270-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTIANO",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "10215",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "226505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1700719",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "406994",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7056858",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA53166",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI - BLUE SHIELD",
            "identifier": "27754",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "27668",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR6379283",
            "identifier": "CIGNA",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI - BLUE CHIP",
            "identifier": "407203",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7870190",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.