DR. ANTONIO OTERO M.D.
NPI 1053579334
Urology in San Francisco, CA

Q: What is Antonio Otero's NPI number?

The NPI number for Antonio Otero is 1053579334. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Q: What is Antonio Otero's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Antonio Otero was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2008PECOS EnrolledAccepts Medicare Assignment

450 6TH AVE, 4TH FLOOR - UROLOGY, SAN FRANCISCO, CA 94118(415) 833-3239(415) 833-2563 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Antonio Otero M.d. NPPES

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

DR. ANTONIO OTERO M.D. (NPI 1053579334) is an individual urology provider in San Francisco, California, licensed in California (A117082) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2004).

NPPES Registry Identity

NPI1053579334

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. ANTONIO OTEROCredential: M.D.

Location Address450 6TH AVE, 4TH FLOOR - UROLOGYSan Francisco, CA 94118-3010

Mailing Address1139 Broderick St, 4th Floor - UrologySan Francisco, CA 94115-3904 · (415) 652-0458 · Fax (415) 833-2563

Phone(415) 833-3239

Fax(415) 833-2563

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2004

Enumeration DateMay 23, 2008

Last NPPES UpdateDecember 15, 2021

✔ NPI 1053579334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in CA · A117082✔ Licensed in TX · AO171708✔ Licensed in NY · 243288

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

450 6TH AVE, San Francisco, CA 94118

Open in Google Maps ↗

Other Identifiers 1

MedicaidTPI: 213257301TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Antonio Otero M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355474396

PECOS Enrollment IDI20111012000100

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.

Medicare Billing Reassignment

Medicare enrollment records show Antonio Otero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

1.3 mi

Internal Medicine

2238 GEARY
San Francisco, CA 94116

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1841373800 (415) 833-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

DR. AMIR A RAFII MD

Specialist

450 6TH AVE, 2ND FLOOR, PASTEUR BLDG.
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-2202

CATHERINE SUSAN BRANNIGAN RCP

Respiratory Therapist, Certified

450 6TH AVE
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-4416

GAIL W GENANT MD

Dermatology

450 6TH AVE
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-2202

ANGELA MARIE SERRANO R. EEG T

Technician, Other (EEG)

450 6TH AVE
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-3630

DR. MEAGHAN M LYNCH M.D.

Physical Medicine & Rehabilitation

450 6TH AVE, 3RD FLOOR
SAN FRANCISCO, CA 94118

San Francisco County (415) 271-1414

MILLICENT ANN ISHIMARU

Respiratory Therapist, Registered

450 6TH AVE
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-4415

LILLIAN NESIS

Respiratory Therapist, Certified (General Care)

450 6TH AVE
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-5700

KELLY NEWHOUSE P.A.-C

Physician Assistant

450 6TH AVE
SAN FRANCISCO, CA 94118

San Francisco County (415) 833-2202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Otero's NPI number?

The NPI number for Antonio Otero is 1053579334. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Where is Antonio Otero located?

Antonio Otero practices at 450 6th Ave 4th Floor - Urology, San Francisco, CA 94118. The listed phone number is (415) 833-3239.

What is Antonio Otero's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Antonio Otero enrolled in Medicare?

Yes. Antonio Otero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Antonio Otero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Otero reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Otero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Antonio Otero was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.