Active NPI
Harold Gregory Ota, MD
- Otolaryngology Physician
- Medford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 54244
- Practice address
- 101 Main St
Suite 216
Medford, MA 02155-4540 - Phone
- (781) 874-1965
- Fax
- (781) 874-1967
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 54244 | MA | Primary |
Addresses
Primary practice location
101 Main St
Suite 216
Medford, MA 02155-4540
Mailing address
101 Main St
Suite 216
Medford, MA 02155-4540
Phone (781) 874-1965
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 705758 | Other | MA | TUFTS HEALTH PLAN |
| 3083233 | Medicaid | MA | |
| J05336 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Otolaryngology
- Education
- University of Massachusetts Medical School, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54499 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Eye and Ear Associates, Inc. | Otolaryngology | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts Eye and Ear Infirmary | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Cambridge Public Health Commission | Past | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
243 Charles St
Boston, MA 02114
Phone (617) 523-7900
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
101 Main St
Ste 216
Medford, MA 02155
Phone (781) 620-4717
101 Main St
Ste 211
Medford, MA 02155
Phone (781) 395-7304
300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135
Interoperability endpoints
- ota.h.meei@direct.partners.masshiway.net
- hota28848@tuftsmedicine.direct-ci.com
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1932574332
Otolaryngology
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1639101751
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1639101751
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1598839821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MAIN ST",
"address_2": "SUITE 216",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554540",
"telephone_number": "781-874-1965",
"fax_number": "781-874-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MAIN ST",
"address_2": "SUITE 216",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554540",
"telephone_number": "781-874-1965",
"fax_number": "781-874-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTA",
"first_name": "HAROLD",
"middle_name": "GREGORY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "54244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "705758",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3083233",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J05336",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.