Individual provider Active NPI

Elechi N Oti, M.D AND PA-C

  • Physician Assistant
  • Little Elm, TX
National Provider Identifier
1932280401
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03161 Issued in TX
Practice address
2664 Whispering TRL
Little Elm, TX 75068-6901
Phone
(214) 718-0650
Fax
(214) 494-2602
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03161 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X RTP 006143 GA

Addresses

Primary practice location

2664 Whispering TRL
Little Elm, TX 75068-6901

Mailing address

2664 Whispering TRL
Little Elm, TX 75068-6901
Phone (214) 718-0650

Other names 1

  • Ellie O Iwu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
RTP 006143GAMDChild & Adolescent Psychiatry Physician
PA03161TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ellite Medical Services, Inc Past Accepting new patients
Harold Wagner DO PA Past Accepting new patients
Indelible Health & Wellness LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1932280401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 WHISPERING TRL",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686901",
            "telephone_number": "214-718-0650",
            "fax_number": "214-494-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 WHISPERING TRL",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686901",
            "telephone_number": "214-718-0650",
            "fax_number": "214-494-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTI",
        "first_name": "ELECHI",
        "middle_name": "N",
        "credential": "M.D AND PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03161",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "RTP 006143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "IWU",
            "middle_name": "O",
            "credential": "M.D AND PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.