NPIMap

Individual provider Active NPI

Piankhi Othelot, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Kingman, AZ
National Provider Identifier
1922530500
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
C1-0026413 Issued in DE
Practice address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone
(928) 681-8577
NPI assigned
Apr 1, 2017
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 30643801 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C1-0026413 DE Primary

Addresses

Primary practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Mailing address

310 W 99TH St Apt 801
New York, NY 10025-5422
Phone (646) 399-3213

Other practice location 1

310 W 99th St Apt 801
New York, NY 10025-5422
Phone (646) 399-3213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, AZ, GA, SC, MI, NY, WV7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20230912000381 DE Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7719341635 Reassigns benefits to 1 organization
I20251204003906 AZ Practitioner - Internal Medicine 7719341635 Reassigns benefits to 1 organization
I20251212003186 GA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7719341635 Reassigns benefits to 1 organization
I20260102001451 SC Practitioner - Critical Care (Intensivists) 7719341635 Reassigns benefits to 1 organization
I20260319000606 MI Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7719341635 Reassigns benefits to 1 organization
I20260407002143 NY Practitioner - Internal Medicine 7719341635 Reassigns benefits to 2 organizations
I20260625001070 WV Practitioner - Internal Medicine 7719341635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Apogee Medical Group South CarolinaGroup PAC ID 8921193020, 69 clinicians
Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians
Apogee Medical Group Delaware IncGroup PAC ID 9638312572, 94 clinicians

Practice addresses (Care Compare)

2435 Forest Dr
Columbia, SC 29204-2026
Phone (803) 256-5300

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666

801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
81.55
Improvement activities
40
Cost
75.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30643801NYMDInternal Medicine Physician
C1-0026413DEMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Michigan, PC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Oct 19, 2025 Accepting new patients
Apogee Medical Group, Delaware, Inc Internal Medicine CurrentSince Aug 28, 2023 Accepting new patients
Apogee Medical Group South Carolina Internal Medicine CurrentSince Dec 19, 2025 Accepting new patients
Apogee Medical Group Georgia Inc Internal Medicine CurrentSince Nov 15, 2025 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Oct 19, 2025 Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

640 S State St
Dover, DE 19901
Phone (302) 744-4700

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

Organizations & group practices 9

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 8

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": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1922530500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 99TH ST APT 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255422",
            "telephone_number": "646-399-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-681-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 W 99th St Apt 801",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100255422",
            "country_code": "US",
            "telephone_number": "646-399-3213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTHELOT",
        "first_name": "PIANKHI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "30643801",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "DE",
            "license": "C1-0026413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.