Active NPI
Edward Alston Otts, M.D.
- Surgery Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 38413
- Practice address
- 1700 Spring Hill Ave Ste 400
Mobile, AL 36604-1416 - Phone
- (251) 438-4440
- NPI assigned
- Apr 15, 2014
- Last updated
- Aug 15, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 38413 | AL | Primary |
Addresses
Primary practice location
1700 Spring Hill Ave Ste 400
Mobile, AL 36604-1416
Mailing address
5212 Border Dr S
Mobile, AL 36608-2714
Phone (251) 379-4469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of South Alabama College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Spring Hill Ave
Suite 400
Mobile, AL 36604-1416
Phone (251) 438-4440
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-5557
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.26 of 100
- Promoting interoperability
- 93
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38413 | AL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Cancer Surgery of Mobile, LLC | Current | Accepting new patients | |
| Southeastern Surgical Specialist, P.C. | Surgery | Past | Accepting new patients |
| Infirmary ASC - Saraland, LLC | Past | Accepting new patients |
Locations
1700 Spring Hill Ave
Ste 400
Mobile, AL 36604
Phone (251) 438-4440
3 Mobile Infirmary Cir
Ste 305
Mobile, AL 36607
Phone (251) 433-5557
831 Hillcrest Rd
Ste C
Mobile, AL 36695
Phone (251) 633-4949
95 Shell St
Saraland, AL 36571
Phone (251) 341-2740
Interoperability endpoints
- eotts82297@directinfirmaryhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgical Oncology Physician
- Mobile, AL
- NPI 1063714012
-
dba Saraland Surgery Center
- Ambulatory Surgical Clinic/Center
- Saraland, AL
- NPI 1578328712
-
- Surgery Physician
- Mobile, AL
- NPI 1538243951
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1467871533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5212 BORDER DR S",
"city": "MOBILE",
"state": "AL",
"postal_code": "366082714",
"telephone_number": "251-379-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 SPRING HILL AVE STE 400",
"city": "MOBILE",
"state": "AL",
"postal_code": "366041416",
"telephone_number": "251-438-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTS",
"first_name": "EDWARD",
"middle_name": "ALSTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "38413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.