Individual provider Active NPI

Erin Holdren Otis, DPM

  • Podiatrist
  • Fenton, MI
National Provider Identifier
1831452036
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002450 Issued in MI
Practice address
14229 Torrey Rd
Suite 1
Fenton, MI 48430-3308
Phone
(810) 629-3338
Fax
(810) 629-9243
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002450 MI Primary

Addresses

Primary practice location

14229 Torrey Rd
Suite 1
Fenton, MI 48430-3308

Mailing address

14229 Torrey Rd
Suite 1
Fenton, MI 48430-3308
Phone (810) 629-3338

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erinholdrenotis@migra.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427001621 MI Practitioner - Podiatry 2567781461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hirt Foot and Ankle Specialists P.C.Group PAC ID 5193806172, 3 clinicians

Practice addresses (Care Compare)

14229 Torrey Rd
Suite 1
Fenton, MI 48430-3308
Phone (810) 629-3338

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue89
Removal of skin lesions29
Removal of nail tissue515
Removal or shaving of skin growth199
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002450MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hirt Foot and Ankle Specialists P C CurrentSince Apr 10, 2015 Accepting new patients
Henry Ford Health Genesys Hospital Podiatrist Current Accepting new patients
Ascension Genesys Hospital CurrentSince May 1, 2016 Accepting new patients
Hirt Foot and Ankle Specialists P.C. Podiatrist CurrentSince Apr 10, 2015 Accepting new patients
Ascension Genesys Hospital CurrentSince May 1, 2016 Accepting new patients

Locations

14229 Torrey Rd
#1
Fenton, MI 48430
Phone (810) 629-3338

14229 Torrey Rd
Ste 1
Fenton, MI 48430
Phone (810) 629-3338

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

Interoperability endpoints

  • Direct secure messaging: eholdrenotis1132363@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1831452036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14229 TORREY RD",
            "address_2": "SUITE 1",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303308",
            "telephone_number": "810-629-3338",
            "fax_number": "810-629-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14229 TORREY RD",
            "address_2": "SUITE 1",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303308",
            "telephone_number": "810-629-3338",
            "fax_number": "810-629-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDREN OTIS",
        "first_name": "ERIN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erinholdrenotis@migra.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "420 S Saginaw St",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485021803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.