Individual provider Active NPI

Colin Carlton Ottey, MD

  • Internal Medicine Physician
  • Lanham, MD
National Provider Identifier
1649453101
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D52294 Issued in MD
Practice address
8601 Martin Luther King Jr Hwy
Suite#1
Lanham, MD 20706-1500
Phone
(301) 773-6812
Fax
(301) 773-6815
NPI assigned
Dec 7, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D52294 MD Primary

Addresses

Primary practice location

8601 Martin Luther King Jr Hwy
Suite#1
Lanham, MD 20706-1500

Mailing address

8601 Martin Luther King Jr Hwy
Suite#1
Lanham, MD 20706-1500
Phone (301) 773-6812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160917000363 MD Practitioner - Internal Medicine 6709934805 Reassigns benefits to 1 organization
I20221027002825 NC Practitioner - Internal Medicine 6709934805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Community Health IncGroup PAC ID 3577471697, shared by 8 NPIs, 32 clinicians

Practice addresses (Care Compare)

1001 Rock Quarry Rd
Raleigh, NC 27610-3825

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

187 High House Rd
Cary, NC 27511-6715
Phone (919) 833-3111

205 Sandalwood Ave
Louisburg, NC 27549-2679
Phone (919) 833-3111

212 S Salem St
Apex, NC 27502-1825
Phone (919) 833-3111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D52294MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc Current Accepting new patients
CPT CurrentSince Aug 1, 2019 Accepting new patients
Advance Community Health, Inc CurrentSince Oct 10, 2022 Accepting new patients
Advance Community Health, Inc CurrentSince Oct 10, 2022 Accepting new patients
Advance Community Health, Inc CurrentSince Oct 10, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Advance Community Health, Inc Past Accepting new patients

Locations

249 Henderson Ave
Cumberland, MD 21502
Phone (240) 362-7444

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

173 High House Rd
Cary, NC 27511

187 High House Rd
Cary, NC 27511

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

111 S Church St
Louisburg, NC 27549
Phone (919) 250-2923

1001 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2934

1011 Rock Quarry Rd
Raleigh, NC 27610

1430 S Wilmington St
Raleigh, NC 27603

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

Organizations & group practices 9

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 2

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": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1649453101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 MARTIN LUTHER KING JR HWY",
            "address_2": "SUITE#1",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061500",
            "telephone_number": "301-773-6812",
            "fax_number": "301-773-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 MARTIN LUTHER KING JR HWY",
            "address_2": "SUITE#1",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061500",
            "telephone_number": "301-773-6812",
            "fax_number": "301-773-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEY",
        "first_name": "COLIN",
        "middle_name": "CARLTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D52294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.