NPIMap

Individual provider Active NPI

Rafael Otero

  • Internal Medicine Physician
  • Brownsville, TX
National Provider Identifier
1790289791
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME148423 Issued in FL
Practice address
832 Ridgewood St Ste B
Brownsville, TX 78520-0102
Phone
(956) 667-5298
Fax
(956) 667-5299
NPI assigned
Mar 23, 2018
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T4446 TX
Internal Medicine Physician 207R00000X ME148423 FL Primary

Addresses

Primary practice location

832 Ridgewood St Ste B
Brownsville, TX 78520-0102

Mailing address

832 Ridgewood St Ste B
Brownsville, TX 78520-0102
Phone (956) 667-5298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210608001475 FL Practitioner - Internal Medicine 6103226493 Reassigns benefits to 1 organization
I20221025001693 TX Practitioner - Internal Medicine 6103226493 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Femi Layiwola MD PAGroup PAC ID 9436471836, 8 clinicians
RGV Health Medical Clinic, PLLCGroup PAC ID 9032595384, 2 clinicians

Practice addresses (Care Compare)

4002 Paredes Line Rd
Suite 26
Brownsville, TX 78526-1375
Phone (956) 465-0626

832 Ridgewood St
Suite B
Brownsville, TX 78520-0102
Phone (956) 667-5298

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148423FLMDInternal Medicine Physician
T4446TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RGV Health Medical Clinic, PLLC CurrentSince Sep 21, 2022 Accepting new patients
Femi Layiwola, MD, PA Internal Medicine CurrentSince Mar 3, 2023 Accepting new patients
Padmini Bhadriraju MD P.a. CurrentSince Feb 28, 2023 Accepting new patients
Advanced Internal Medicine Care, PA Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
VHS Brownsville Hospital Company LLC Past Accepting new patients

Locations

5245 US Highway 98 N
Lakeland, FL 33809
Phone (863) 606-1616

5425 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-3585

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

4002 Paredes Line Rd
Ste 26
Brownsville, TX 78526
Phone (956) 465-0626

832 Ridgewood St
Ste B
Brownsville, TX 78520
Phone (956) 667-5298

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

2000 S McColl Rd
Ste B
McAllen, TX 78503
Phone (956) 215-6010

104 S Bryan Rd
Mission, TX 78572
Phone (956) 271-4950

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBCCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJAJCD/Endpoint/IJAJCD

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1790289791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 RIDGEWOOD ST STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785200102",
            "telephone_number": "956-667-5298",
            "fax_number": "956-667-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 RIDGEWOOD ST STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785200102",
            "telephone_number": "956-667-5298",
            "fax_number": "956-667-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "RAFAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T4446",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME148423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.