Prince Otchere, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

T0589 Issued in TX

Practice address

4502 Medical Dr
San Antonio, TX 78229-4402

Phone

(210) 358-4009

Fax

(210) 567-6960

NPI assigned

Apr 7, 2015

Last updated

Feb 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Loma Linda University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335
• University Health System Hospital, San Antonio, TX, CCN 450213
• Methodist Hospital Hospital, San Antonio, TX, CCN 450388

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: potchere32874@direct.utmsa.com

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.

• University of Texas Health Science Center at San Antonio

  dba UT Health Physicians

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717
  Medicare reassignment Care Compare group NPD
• Cardiology Clinic of San Antonio, PLLC

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1487965000
  Medicare reassignment Care Compare group
• The University of Texas Health Science Center at San Antonio

  dba UT Health San Antonio Multispecialty & Research Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD
• Bexar County Hospital District

  dba University Health

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1821011248
  NPD (past)
• University of Texas Health Science Center at San Antonio

  dba UTHSCSA Rehab Medicine

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
  • NPI 1538224142
  NPD (past)

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

• Bexar County Hospital District

  dba University Health

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1821011248
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  dba Methodist Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1124074273
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  dba Metropolitan Methodist Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1689627655
  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  dba Methodist Specialty and Transplant Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1952348021
  Care Compare affiliation
• The University of Texas Health Science Center at San Antonio

  dba UT Health San Antonio Multispecialty & Research Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  Care Compare affiliation

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1730575721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000",
            "fax_number": "210-567-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4009",
            "fax_number": "210-567-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25723 Old Fredericksburg Rd",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780156605",
            "country_code": "US",
            "telephone_number": "210-450-6800",
            "fax_number": "210-450-6801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 W Martin St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782070903",
            "country_code": "US",
            "telephone_number": "210-358-3555",
            "fax_number": "210-358-5945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Floyd Curl Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293931",
            "country_code": "US",
            "telephone_number": "210-450-4888",
            "fax_number": "210-450-6018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTCHERE",
        "first_name": "PRINCE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T0589",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "T0589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "426524102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426524101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Dean Oswalt, LPC
• Glenn Otake, RPH
• Martha S Otake, RPH
• James Otani
• Beryl Otchere, DDS
• Otera, PLLC
• Jorge M Otero Delgado, MD
• Edwin Gabriel Otero Rivera, MD, MPH
• Carmelo Otero, M.D.
• Christiana Otero, BSN, RN

• Cardiovascular Disease Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.

Verify at the official NPI Registry.