Active NPI
Brady Kahlig Otten, MD
- Pulmonary Disease Physician
- Avon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35.154455
- Practice address
- 33100 Cleveland Clinic Blvd
Avon, OH 44011-1390 - Phone
- (440) 695-4000
- NPI assigned
- Apr 1, 2019
- Last updated
- Aug 6, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL87960 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | 35.154455 | OH | Primary |
Addresses
Primary practice location
33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Mailing address
2075 W 25TH St Apt 710
Cleveland, OH 44113-4152
Other practice location 1
169 Ashley Ave Rm 202
Charleston, SC 29425-0001
Phone (843) 792-2575
Other practice location 2
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-6503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Pulmonary Disease
- Education
- Wright State University Boonshoft School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL87960 | SC | MD | Internal Medicine Physician |
| 35.154455 | OH | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients |
Locations
33100 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
9500 Euclid Ave
#23
Cleveland, OH 44195
Phone (216) 444-5690
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, OH
- NPI 1346607017
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1720540636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 W 25TH ST APT 710",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441134152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33100 CLEVELAND CLINIC BLVD",
"city": "AVON",
"state": "OH",
"postal_code": "440111390",
"telephone_number": "440-695-4000"
}
],
"practiceLocations": [
{
"address_1": "169 Ashley Ave Rm 202",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294250001",
"country_code": "US",
"telephone_number": "843-792-2575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "216-444-6503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTEN",
"first_name": "BRADY",
"middle_name": "KAHLIG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2025-08-06",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL87960",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35.154455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.