Eseroghene Otah, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

L6554 Issued in TX

Practice address

138 Eldridge Rd
Suite E
Sugar Land, TX 77478-4083

Phone

(281) 232-3886

Fax

(281) 232-3986

NPI assigned

Oct 12, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Ese Otah Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General SurgeryAlso: Vascular Surgery

Education

State University of New York at Buffalo School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.yourcareuniverse.net/tenant/996b0304-e114-49c4-bd1f-4fc323d70cc8

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.

• Center for General & Laparoscopic Surgery PA

  • Surgery Physician
  • Sugar Land, TX
  • NPI 1376531905
  Medicare reassignment NPD Authorized official
• Round Table Specialist Group, PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1497152268
  Medicare reassignment NPD
• Round Table Physicians Group PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bellaire, TX
  • NPI 1023439114
  NPD
• Bellville Hospital District

  • General Acute Care Hospital
  • Bellville, TX
  • NPI 1457358103
  NPD (past)
• Houston in Patient Physician Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Sugar Land, TX
  • NPI 1871892646
  NPD (past)
• Tsa-Texas Surgical Associates LLP

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Houston, TX
  • NPI 1306846464
  NPD (past)
• Yoakum Community Hospital

  • Certified Registered Nurse Anesthetist
  • Yoakum, TX
  • NPI 1144473356
  NPD (past)
• Yoakum Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Yoakum, TX
  • NPI 1295839496
  NPD (past)
• Yoakum Community Hospital

  • Critical Access Hospital
  • Yoakum, TX
  • NPI 1881697878
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca West Houston L P

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1275580938
  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1477541621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ELDRIDGE RD",
            "address_2": "SUITE E",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784083",
            "telephone_number": "281-232-3886",
            "fax_number": "281-232-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 ELDRIDGE RD",
            "address_2": "SUITE E",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784083",
            "telephone_number": "281-232-3886",
            "fax_number": "281-232-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTAH",
        "first_name": "ESEROGHENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L6554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1663841",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703076",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESE",
            "last_name": "OTAH",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Babatunde Oshin
• Feyiseye Osiki, APRN
• Pauline Marie Ossakow, NP
• Ostrander Enterprises
• OT Stat LLC
• Kenneth Ese Otah Sr., MD MSC FACC
• Elaine Otchere, MD
• Adejoke Otegbola
• Erin Otness, M.D.
• Kaitlin Ou

• Surgery Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.

Verify at the official NPI Registry.