Otholino Remedios, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

5066R Issued in LA

Practice address

1200 Avenue G
Suite # 101,
Marrero, LA 70072-3765

Phone

(504) 347-0202

Fax

(504) 341-6475

NPI assigned

Oct 26, 2006

Last updated

Feb 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Otto Remedios Other name

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Childrens Hospital Medical Practice Corporation

  • Pediatrics Physician
  • New Orleans, LA
  • NPI 1821090713

  Adolescent Medicine

  Medicare reassignment NPD
• Louisiana State University School of Medicine in New Orleans Faculty G

  dba LSU Healthcare Network

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1477582526
  NPD (past)
• West Jefferson Holdings, LLC

  dba West Jefferson Medical Center

  • Rehabilitation Hospital Unit
  • Marrero, LA
  • NPI 1679631402
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1952486987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE N-502",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-347-0202",
            "fax_number": "504-341-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AVENUE G",
            "address_2": "SUITE # 101,",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723765",
            "telephone_number": "504-347-0202",
            "fax_number": "504-341-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMEDIOS",
        "first_name": "OTHOLINO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "LA",
            "license": "5066R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1957798",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OTTO",
            "last_name": "REMEDIOS",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Reliable Assisitance LLC
• Reliable Pca Agency L.L.C
• Reliable Pca and Respite Care
• Reliable Pca and Respite Care
• Reliable Pca and Respite Care
• Responsibility House, Inc
• Abigail Marie Reyes, MD
• Brittany Reynolds, AUD
• Reza Heart & Vascular Institute LLC
• Mark R. Rice, M.D.

• Pediatric Adolescent Medicine Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Pediatric Adolescent Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.