Individual provider Active NPI

Craig Ronald Otteni, MD

  • Family Medicine Physician
  • Buena Vista, CO
National Provider Identifier
1497193262
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0056587 Issued in CO
Practice address
28374 County Road 317
Buena Vista, CO 81211-9158
Phone
(719) 395-9048
Fax
(719) 395-9064
NPI assigned
Jun 13, 2013
Last updated
Feb 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0056587 CO Primary

Addresses

Primary practice location

28374 County Road 317
Buena Vista, CO 81211-9158

Mailing address

PO Box 429
Salida, CO 81201-0429
Phone (719) 530-2048

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drotteni@HRRMCMedicalClinics.ssdirect.aprima.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160526001751 CO Practitioner - Family Practice 3779873146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Warren Alpert Medical School of Brown University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salida Hospital DistrictGroup PAC ID 3577451152, shared by 9 NPIs, 100 clinicians

Practice addresses (Care Compare)

28374 County Rd
Suite 317
Buena Vista, CO 81211-9158
Phone (719) 395-9048

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0056587COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Jul 18, 2016 Accepting new patients
Salida Hospital District CurrentSince Jul 18, 2016 Accepting new patients
Salida Hospital District Family Medicine Current Accepting new patients

Locations

28374 County Road 317
Buena Vista, CO 81211
Phone (719) 395-9048

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

550 W US Highway 50
Salida, CO 81201
Phone (719) 530-2022

Interoperability endpoints

  • Direct secure messaging: drotteni@hrrmcmedicalclinics.ssdirect.aprima.com

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 3

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1497193262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010429",
            "telephone_number": "719-530-2048",
            "fax_number": "719-530-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28374 COUNTY ROAD 317",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812119158",
            "telephone_number": "719-395-9048",
            "fax_number": "719-395-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENI",
        "first_name": "CRAIG",
        "middle_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0056587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drotteni@HRRMCMedicalClinics.ssdirect.aprima.com",
            "affiliation": "N",
            "address_1": "28374 County Road 317",
            "city": "Buena Vista",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812119158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buena Vista, CO

Sources for this page

Verify at the official NPI Registry.