Active NPI
Christopher S Ottiano, M.D.
- Specialist
- Johnston, RI
National Provider Identifier
1376524868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10215
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700719 | Other | RI | UHC |
| 406994 | Other | RI | TUFTS |
| 7056858 | Medicaid | RI | |
| AA53166 | Other | RI | HARVARD PILGRIM |
| 27754 | Other | BCBSRI - BLUE SHIELD | |
| 27668 | Other | RI | NHP |
| CIGNA | Other | RI | PR6379283 |
| 407203 | Other | RI | BCBSRI - BLUE CHIP |
| 7870190 | Other | RI | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 226505 | MA | MD | Specialist |
| 10215 | RI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain & Spine Neurosurgical Institute, LLC | Past | Accepting new patients |
Interoperability endpoints
- christopher.ottiano.1@9678.direct.athenahealth.com
- 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.
-
- Neurological Surgery Physician
- Johnston, RI
- NPI 1558304212
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.