Individual provider Active NPI

Kwabena Owusu Oteng, M.D.

  • Family Medicine Physician
  • Springdale, OH
National Provider Identifier
1811933369
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-08-5421 Issued in OH
Practice address
360 Glensprings Dr
Springdale, OH 45246-2304
Phone
(513) 671-5050
Fax
(513) 671-3012
NPI assigned
Jun 22, 2006
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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 35-08-5421 OH Primary

Addresses

Primary practice location

360 Glensprings Dr
Springdale, OH 45246-2304

Mailing address

935 State Route 28
Milford, OH 45150-1911
Phone (513) 831-5955

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050312000097 OH Practitioner - Family PracticePractitioner - Pediatric Medicine 0042265050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

5920 Colerain Ave
Cincinnati, OH 45239-6414
Phone (513) 741-7044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Rapid Response, LLC CurrentSince Nov 17, 2024 Accepting new patients
CG Medical Associates Inc Family Medicine CurrentSince Dec 1, 2021 Accepting new patients

Locations

5920 Colerain Ave
Cincinnati, OH 45239
Phone (513) 741-7044

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

5915 N Main St
Dayton, OH 45415
Phone (937) 278-3826

2131 Gateway Dr
Fairborn, OH 45324
Phone (937) 873-9500

3604 Wilmington Pike
Kettering, OH 45429
Phone (937) 294-0066

3290 Village Dr
Middletown, OH 45005
Phone (513) 422-7703

129 W Kemper Rd
Springdale, OH 45246
Phone (513) 954-0112

360 Glensprings Dr
Springdale, OH 45246
Phone (513) 671-5050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26392/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1811933369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 STATE ROUTE 28",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501911",
            "telephone_number": "513-831-5955",
            "fax_number": "513-831-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 GLENSPRINGS DR",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452462304",
            "telephone_number": "513-671-5050",
            "fax_number": "513-671-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTENG",
        "first_name": "KWABENA",
        "middle_name": "OWUSU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-08-5421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, OH

Sources for this page

Verify at the official NPI Registry.