MADISON OTT MD
NPI 1003496571
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Madison Ott's NPI number?

The NPI number for Madison Ott is 1003496571. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Madison Ott's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Ott was last updated on June 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 09, 2021PECOS Enrolled

1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202(317) 278-2686 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2022, Jul 28, 2021, Apr 9, 2021 (3 updates tracked since 2021).

On this page

About Madison Ott Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON OTT MD (NPI 1003496571) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003496571

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMADISON OTTCredential: MD

Location Address1120 W MICHIGAN ST # CL630Indianapolis, IN 46202-5209

Mailing Address355 W 16th StIndianapolis, IN 46202-2207 · (317) 963-7533 · Fax (317) 963-7533

Phone(317) 278-2686

Sole ProprietorYes

Enumeration DateApril 9, 2021

Last NPPES UpdateJune 8, 20223 updates tracked since enumeration

NPPES CertifiedApril 8, 2022

✔ NPI 1003496571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License LL86159 (SC)

1120 W MICHIGAN ST # CL630, Indianapolis, IN 46202

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Ott Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL SAM ROSENHECK

Student in an Organized Health Care Education/Training Program