Individual provider Active NPI

James J Otto, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Inverness, FL
National Provider Identifier
1437268133
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME107897 Issued in FL
Practice address
403 W Highland Blvd
Inverness, FL 34452-4717
Phone
(352) 726-3646
Fax
(352) 726-0079
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME107897 FL Primary

Addresses

Primary practice location

403 W Highland Blvd
Inverness, FL 34452-4717

Mailing address

403 W Highland Blvd
Inverness, FL 34452-4717
Phone (352) 726-3646

Other identifiers 1

IdentifierTypeStateIssuer
014537500MedicaidFL

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
I20150129002249 FL Practitioner - Vascular Surgery 8527170596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Albany Medical College of Union University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Specialty Group IncGroup PAC ID 8022331255, 14 clinicians

Practice addresses (Care Compare)

104 S Pine Ave
Inverness, FL 34452-4829
Phone (352) 726-3646

502 W Highland Blvd
Inverness, FL 34452-4720
Phone (352) 726-1551

800 Medical CT E
Inverness, FL 34452-4612
Phone (352) 726-7667

Hospital & facility affiliations

  • Mederi Caretenders Home health agency, Brooksville, FL, CCN 107500
  • HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)26
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Specialty Group, Inc CurrentSince Nov 22, 2014 Accepting new patients

Locations

403 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-3646

800 Medical Ct E
Inverness, FL 34452
Phone (352) 726-7667

104 S Pine Ave
Inverness, FL 34452
Phone (352) 726-3646

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: james.otto@hca4.eclinicaldirectplus.com

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 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1437268133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524717",
            "telephone_number": "352-726-3646",
            "fax_number": "352-726-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524717",
            "telephone_number": "352-726-3646",
            "fax_number": "352-726-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME107897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014537500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.