NPIMap

Individual provider Active NPI

Marvin Jacob Ott, M.D.

  • Emergency Medicine Physician
  • Wichita, KS
National Provider Identifier
1699715763
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04-32839 Issued in KS
Practice address
929 N Saint Francis St
Wichita, KS 67214-3821
Phone
(316) 268-5775
Fax
(316) 291-7496
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 04-32839 KS Primary

Addresses

Primary practice location

929 N Saint Francis St
Wichita, KS 67214-3821

Mailing address

PO Box 47222
Wichita, KS 67201-7222
Phone (316) 268-8131

Other identifiers 1

IdentifierTypeStateIssuer
200540810AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080519000451 KS Practitioner - Emergency Medicine 9234114208 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northeastern Ohio University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Center LLCGroup PAC ID 2668476862, 54 clinicians
Rock Regional Hospital LLCGroup PAC ID 8325386634, 21 clinicians
Cep America - Kansas LLCGroup PAC ID 3971814286, 59 clinicians

Practice addresses (Care Compare)

1124 W 21St St
Emergency Medicine
Andover, KS 67002-5500
Phone (316) 300-4911

3251 N Rock Rd
Derby, KS 67037-3850
Phone (316) 425-2400

929 N Saint Francis St
Via Christi Hospital St Francis
Wichita, KS 67214-3821
Phone (316) 268-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-32839KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Center, LLC Current Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Apr 21, 2025 Accepting new patients
Cep America - Kansas LLC Emergency Medicine Current Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Rock Regional Hospital, LLC CurrentSince Sep 2, 2025 Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Apr 21, 2025 Accepting new patients
Kansas Medical Center, LLC CurrentSince Dec 17, 2025 Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Hutchinson Regional Medical Center, Inc. Emergency Medicine Current Accepting new patients
Kansas Medical Center, LLC CurrentSince Dec 17, 2025 Accepting new patients
Immediate Health Associates Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

3251 N Rock Rd
Derby, KS 67037
Phone (316) 425-2400

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

Organizations & group practices 12

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 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1699715763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47222",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017222",
            "telephone_number": "316-268-8131",
            "fax_number": "316-291-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5775",
            "fax_number": "316-291-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "MARVIN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-32839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200540810A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.