Individual provider Active NPI

Victor Martin Otero, M.D.

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1730129099
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD064050L Issued in PA
Practice address
501 Cetronia Road
Allentown, PA 18104
Phone
(610) 628-8307
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD064050L PA Primary

Addresses

Primary practice location

501 Cetronia Road
Allentown, PA 18104

Mailing address

PO Box 758952
Baltimore, MD 21275-8952
Phone (804) 968-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001144 PA Practitioner - Family Practice 9335037670 Reassigns benefits to 7 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jul 29, 2023 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Apr 1, 2016 Accepting new patients
St. Luke'S Quakertown Hospital Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. Family Medicine CurrentSince Oct 31, 2016 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Apr 1, 2016 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine CurrentSince Jul 29, 2023 Accepting new patients
St. Luke'S Hosptial Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
GSL Hospital Family Medicine CurrentSince Sep 30, 2022 Accepting new patients
The Carbon Schuylkill Community Hospital Inc Family Medicine CurrentSince Oct 31, 2016 Accepting new patients
St. Luke'S Hospital Monroe Campus Current Accepting new patients
St Luke'S Hospital CurrentSince Apr 1, 2016 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
Lehigh Valley Physician Group Family Medicine Past Accepting new patients

Locations

501 Cetronia Rd
Allentown, PA 18104
Phone (484) 426-2501

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

41 Community Dr
Easton, PA 18045
Phone (610) 252-8037

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

575 S 9th St
Ste 7
Lehighton, PA 18235
Phone (570) 645-1000

2092 W Penn Pike
New Ringgold, PA 17960
Phone (272) 639-5370

602 E 21st St
Ste 400
Northampton, PA 18067
Phone (610) 262-1519

135 Lafayette Ave
Palmerton, PA 18071
Phone (610) 826-1103

2793 Geryville Pike
Pennsburg, PA 18073
Phone (267) 424-8005

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Organizations & group practices 15

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.

View all 15

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": "1459468800000",
    "number": "1730129099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758952",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212758952",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CETRONIA ROAD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-628-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "VICTOR",
        "middle_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD064050L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.