NPIMap

Individual provider Active NPI

Tessie Otero-Truitt, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • South Boston, VA
National Provider Identifier
1700881885
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101052342 Issued in VA
Practice address
2232 Wilborn Ave
Ste B
South Boston, VA 24592-1662
Phone
(434) 575-5844
Fax
(434) 575-0862
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101052342 VA Primary

Addresses

Primary practice location

2232 Wilborn Ave
Ste B
South Boston, VA 24592-1662

Mailing address

2232 Wilborn Ave
Ste B
South Boston, VA 24592-1662
Phone (434) 575-5844

Other identifiers 3

IdentifierTypeStateIssuer
281110OtherVAANTHEM
006082807MedicaidVA
44141OtherVAOPTIMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070511000417 VA Practitioner - Endocrinology 6305943192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Associates of Southside Virginia, IncGroup PAC ID 8628008331, 17 clinicians

Practice addresses (Care Compare)

2210 Wilborn Ave
South Boston, VA 24592-1630
Phone (434) 575-5864

2232 Wilborn Ave
Suite B
South Boston, VA 24592-1662
Phone (434) 575-5844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as individual
Quality
93.79
Promoting interoperability
90
Improvement activities
40
Cost
83.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Southside Virginia, Inc CurrentSince Apr 1, 2007 Accepting new patients
Halifax Endocrinology and Osteoporosis Center PC Endocrinology, Diabetes & Metabolism CurrentSince Oct 1, 2008 Accepting new patients

Locations

2232 Wilborn Ave
Ste B
South Boston, VA 24592
Phone (434) 572-5260

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

2210 Wilborn Ave
South Boston, VA 24592
Phone (434) 575-5864

Interoperability endpoints

  • Direct secure messaging: tessie.otero-truitt.1@18688.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18733/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/18688/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tessie.otero-truitt.1@18733.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1700881885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVE",
            "address_2": "STE B",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921662",
            "telephone_number": "434-575-5844",
            "fax_number": "434-575-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVE",
            "address_2": "STE B",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921662",
            "telephone_number": "434-575-5844",
            "fax_number": "434-575-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO-TRUITT",
        "first_name": "TESSIE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101052342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "281110",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006082807",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "44141",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.