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FELIPE SEBASTIAN BAUTISTA OTANEZ M.D.
NPI 1124289079
Pediatrics - Pediatric Hematology-Oncology in Charlotte, NC

Active since June 23, 2008PECOS Enrolled
301 HAWTHORNE LN STE 100, CHARLOTTE, NC 28204(704) 384-1900(704) 384-1919 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2023, Jun 11, 2021, Apr 16, 2021 and 2 more (5 updates tracked since 2018).

About Felipe Sebastian Bautista Otanez M.d. NPPES

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

FELIPE SEBASTIAN BAUTISTA OTANEZ M.D. (NPI 1124289079) is an individual pediatric hematology-oncology provider in Charlotte, North Carolina, licensed in North Carolina (2021-00810) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1124289079
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameFELIPE SEBASTIAN BAUTISTA OTANEZCredential: M.D.
Location Address301 HAWTHORNE LN STE 100Charlotte, NC 28204-2467
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 384-1900
Fax(704) 384-1919
Sole ProprietorNo
Enumeration DateJune 23, 2008
Last NPPES UpdateAugust 8, 20235 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1124289079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in NC · 2021-00810✔ Licensed in PA · MD444093
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
301 HAWTHORNE LN STE 100, Charlotte, NC 28204
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Secondary Practice Location 1

Location 11250 S Cedar Crest Blvd Ste 1000Allentown, PA 18103-6224 · Phone (484) 884-3333 · Fax (484) 884-3366

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Felipe Sebastian Bautista Otanez M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Felipe Bautista Otanez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Presbyterian Hospital
Same address
Pediatric Hematology-Oncology
301 HAWTHORNE LN
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
NPI 1528467586 (704) 384-1900
Lehigh Valley Physician Group
441 mi
Family Medicine
121 N TULPEHOCKEN ST
Pine Grove, PA 17963
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1437911807 (570) 345-2345

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

Other Providers at the Same Location NPPES 5

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

HOLLY JANE EDINGTON MD
Pediatrics (Pediatric Hematology-Oncology)
301 HAWTHORNE LN STE 100
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-1900
BROOKE ELIZABETH PATTESON CPNP
Nurse Practitioner
301 HAWTHORNE LN STE 100
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-1900
DR. JOANNE FRANCES MCMANAMAN M.D.
Pediatrics (Pediatric Hematology-Oncology)
301 HAWTHORNE LN STE 100
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-1900
AVANI SANJEEV MANGOLI DO
Pediatrics (Pediatric Hematology-Oncology)
301 HAWTHORNE LN STE 100
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-1900
DR. KATIE LYNN ANDRICOPULOS PHARMD
Pharmacist (Pediatrics)
301 HAWTHORNE LN STE 100
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-1900

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 Felipe Bautista Otanez's NPI number?

The NPI number for Felipe Bautista Otanez is 1124289079. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Felipe Bautista Otanez located?

Felipe Bautista Otanez practices at 301 Hawthorne Ln Ste 100, Charlotte, NC 28204. The listed phone number is (704) 384-1900.

What is Felipe Bautista Otanez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Felipe Bautista Otanez enrolled in Medicare?

Yes. Felipe Bautista Otanez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Felipe Bautista Otanez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Felipe Bautista Otanez reassigns Medicare benefits to 2 organizations: The Presbyterian Hospital (Charlotte, NC) and Lehigh Valley Physician Group (Pine Grove, PA). Each 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 Felipe Bautista Otanez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Felipe Bautista Otanez accept?

Health plans from Cigna Healthcare list Felipe Bautista Otanez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Felipe Bautista Otanez was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.