Individual provider Active NPI

Edward Alston Otts, M.D.

  • Surgery Physician
  • Mobile, AL
National Provider Identifier
1467871533
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
38413 Issued in AL
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924002246 AL Practitioner - General Surgery 9032333158 Reassigns benefits to 1 organization

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
Imc-Cancer Surgery of Mobile, LLCGroup PAC ID 1557550589, 23 clinicians

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 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38413ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Cancer Surgery of Mobile, LLC CurrentSince Sep 1, 2019 Accepting new patients
Southeastern Surgical Specialist, P.C. Surgery PastSince Aug 18, 2019 Accepting new patients
Infirmary ASC - Saraland, LLC PastSince Mar 9, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.