Individual provider Active NPI

Richard Lemuel Otts, M.D.

  • Obstetrics & Gynecology Physician
  • Mobile, AL
National Provider Identifier
1942240254
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7709 Issued in AL
Practice address
3 Mobile Infirmary Cir
Suite 201
Mobile, AL 36607-3514
Phone
(251) 433-1887
Fax
(251) 433-1929
NPI assigned
Jun 7, 2006
Last updated
Sep 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00007709 AL
Obstetrics & Gynecology Physician 207V00000X 7709 AL Primary

Addresses

Primary practice location

3 Mobile Infirmary Cir
Suite 201
Mobile, AL 36607-3514

Mailing address

3 Mobile Infirmary Cir
Suite 201
Mobile, AL 36607-3514
Phone (251) 433-1887

Other identifiers 4

IdentifierTypeStateIssuer
0552570001OtherALMEDICARE
0552570001OtherALCIGNA
51534439OtherALBLUE CROSS
528902340MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060612000192 AL Practitioner - Obstetrics/Gynecology 5395757322 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00007709ALMDSpecialist
7709ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Health Hospitals, Inc. Obstetrics & Gynecology Current Accepting new patients
Gulf Health Hospitals, Inc CurrentSince May 1, 2016 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince May 1, 2016 Accepting new patients

Locations

1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553

2002 Medical Center Dr
Bay Minette, AL 36507
Phone (251) 937-5377

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1942240254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 201",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073514",
            "telephone_number": "251-433-1887",
            "fax_number": "251-433-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 201",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073514",
            "telephone_number": "251-433-1887",
            "fax_number": "251-433-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTS",
        "first_name": "RICHARD",
        "middle_name": "LEMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00007709",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "7709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0552570001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0552570001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51534439",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528902340",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.