Gladys Otito, PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209025801 Issued in IL

Practice address

6374 N Lincoln Ave Ste 201
Chicago, IL 60659-1219

Phone

(773) 539-4145

Fax

(773) 539-1207

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cimpar SCGroup PAC ID 3577578798, 35 clinicians

Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

Practice roles

Locations

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.

• Cimpar, S.C.

  • Internal Medicine Physician
  • Oak Park, IL
  • NPI 1467496224
  Medicare reassignment Care Compare group NPD
• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452
  Medicare reassignment Care Compare group NPD
• Family Care Physicians Inc

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1376154088
  NPD
• Kidney Specialists of Illinois LLC

  • Nephrology Physician
  • Chicago, IL
  • NPI 1275969222
  NPD

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1871216374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591219",
            "telephone_number": "773-539-4145",
            "fax_number": "773-539-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591219",
            "telephone_number": "773-539-4145",
            "fax_number": "773-539-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTITO",
        "first_name": "GLADYS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Othman, M.D.
• Othrocare Solution LLC
• Otilio Melero MDSC
• Carmelthia Otis, RPH
• Thomson Campbell Otis, DPT
• Aytekin Oto
• Otolaryngology Associates SC
• Nicole Otoole, MS, OTR
• Ahmad Otoom, MD
• Dorothy Otremba

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.

Verify at the official NPI Registry.