Individual provider Active NPI

Hansel Javier Otero, M.D.

  • Diagnostic Radiology Physician
  • West Chester, PA
National Provider Identifier
1861655755
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD461079 Issued in PA
Practice address
701 E Marshall St
West Chester, PA 19380-4412
Phone
(610) 431-5131
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X MD042160 DC
Pediatric Radiology Physician 2085P0229X D0077752 MD
Diagnostic Radiology Physician 2085R0202X 250277 MA
Diagnostic Radiology Physician 2085R0202X 0101256011 VA
Diagnostic Radiology Physician 2085R0202X MD461079 PA Primary

Addresses

Primary practice location

701 E Marshall St
West Chester, PA 19380-4412

Mailing address

701 E Marshall St
West Chester, PA 19380-4412
Phone (610) 431-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170815000237 PA Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 0941439517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Pediatric Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Children'S Hospital, IncGroup PAC ID 0345154399, 40 clinicians

Practice addresses (Care Compare)

3401 Civic Ctr Blvd
Philadelphia, PA 19104-4319
Phone (267) 425-9505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0077752MDMDPediatric Radiology Physician
250277MAMDDiagnostic Radiology Physician
MD461079PAMDDiagnostic Radiology Physician
0101256011VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 1, 2019 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 1, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
University of Penn-Medical Group CurrentSince Aug 1, 2017 Accepting new patients
University of Penn-Medical Group Pediatric Radiology CurrentSince Aug 1, 2017 Accepting new patients
Geisinger-HM Joint Venture, LLC Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Childrens Radiology Associates of New Jersey PC Pediatric Radiology Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations (25 of 33)

65 Briar Creek Plz
Berwick, PA 18603
Phone (570) 802-5590

1001 Chesterbrook Blvd
Ste 100
Berwyn, PA 19312
Phone (610) 576-7500

549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100

35 Justin Dr
Danville, PA 17821
Phone (570) 271-6028

100 N Academy Ave
Danville, PA 17822

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

402 McFarlan Rd
Ste 201
Kennett Square, PA 19348
Phone (610) 444-2665

499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161

491 Allendale Rd
Ste 104
Kng of Prussa, PA 19406
Phone (215) 860-3360

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

5 Lakeview Dr
Moosic, PA 18507
Phone (570) 558-2180

255 Route 220 Hwy
Ste 205
Muncy, PA 17756
Phone (570) 308-2445

11 Friends Ln
Ste 101
Newtown, PA 18940
Phone (215) 579-1300

250 W Lancaster Ave
Ste 180
Paoli, PA 19301
Phone (610) 644-0477

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

1840 South St
Ste 3
Philadelphia, PA 19146
Phone (215) 546-1893

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

420 W Linfield Trappe Rd
Bldg A
Royersford, PA 19468

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

915 Old Fern Hill Rd
Ste D400
West Chester, PA 19380

455 Woodview Rd
West Grove, PA 19390
Phone (610) 345-1960

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861655755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804412",
            "telephone_number": "610-431-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MARSHALL ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804412",
            "telephone_number": "610-431-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "HANSEL",
        "middle_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "DC",
            "license": "MD042160",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MD",
            "license": "D0077752",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "250277",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101256011",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD461079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.