Active NPI
Sylvia Renee Otto, D.O.
- Family Medicine Physician
- Radford, VA
National Provider Identifier
1750024907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102209645
- Practice address
- 701 Randolph St Ste 120
Radford, VA 24141-3047 - Phone
- (540) 731-3200
- Fax
- (540) 639-1048
- NPI assigned
- Apr 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 0102209645 | VA | Primary |
Addresses
Primary practice location
701 Randolph St Ste 120
Radford, VA 24141-3047
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516
Other practice location 1
1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742
Other names 1
- Sylvia Renee Schad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220808001333 | WA | Order and Referring Only - Family Practice | 4486036449 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Campbell Univ School of Osteopathic Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
213 S Jefferson St
Suite 1006
Roanoke, VA 24011-1713
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- sylvia.ottodo.p1@direct.chc-tacoma.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1750024907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 RANDOLPH ST STE 120",
"city": "RADFORD",
"state": "VA",
"postal_code": "241413047",
"telephone_number": "540-731-3200",
"fax_number": "540-639-1048"
}
],
"practiceLocations": [
{
"address_1": "1202 Martin Luther King Jr Way",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984053926",
"country_code": "US",
"telephone_number": "253-441-4742",
"fax_number": "253-442-8790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTO",
"first_name": "SYLVIA",
"middle_name": "RENEE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-15",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102209645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SYLVIA",
"last_name": "SCHAD",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Radford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.