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DR. SAMUEL JAMES OTTO M.D.
NPI 1154565273
Urology in Milwaukee, WI

Active since April 21, 2009PECOS Enrolled
2424 S 90TH ST, SUITE 408, MILWAUKEE, WI 53227(414) 385-2716 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2018, Apr 26, 2017 (2 updates tracked since 2017).

About Dr. Samuel James Otto M.d. NPPES

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

DR. SAMUEL JAMES OTTO M.D. (NPI 1154565273) is an individual urology provider in Milwaukee, Wisconsin, licensed in Wisconsin (19702) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154565273
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SAMUEL JAMES OTTOCredential: M.D.
Location Address2424 S 90TH ST, SUITE 408Milwaukee, WI 53227-2455
Mailing Address2376 N 400 E, Ste A104Tooele, UT 84074-3413 · (435) 882-0071 · Fax (435) 882-0073
Phone(414) 385-2716
Sole ProprietorNo
Enumeration DateApril 21, 2009
Last NPPES UpdateSeptember 12, 20182 updates tracked since enumeration
✔ NPI 1154565273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in WI · 19702✔ Licensed in UT · 7223921-1205
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.
2424 S 90TH ST, Milwaukee, WI 53227
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Other Identifiers 2

Medicaid1154565273UT
Medicaid1154565273WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel James Otto 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

DR. SIMIN GOLESTANI M.D.
Surgery
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8080
SUSAN MANZ LARSON MD
Physical Medicine & Rehabilitation
2424 S 90TH ST, SUITE 500
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8600
NICOLE F JENSEN LPC
Counselor (Mental Health)
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 773-4312
WALTER K T WONG MD SC
Psychiatry & Neurology (Neurology)
2424 S 90TH ST, STE. 202
WEST ALLIS, WI 53227
Milwaukee County (414) 328-7646
DR. JUSTIN WILLIAM PETERSON D.O.
Orthopaedic Surgery
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2255
VIRGINIA R KUENZI NP
Nurse Practitioner
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8150
JONATHAN E KIECHLE
Urology
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 649-1280
LINDSEY MARIA KASTNER PT, DPT, ATC
Physical Therapist
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2255

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 Samuel Otto's NPI number?

The NPI number for Samuel Otto is 1154565273. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Samuel Otto located?

Samuel Otto practices at 2424 S 90th St Suite 408, Milwaukee, WI 53227. The listed phone number is (414) 385-2716.

What is Samuel Otto's specialty?

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

Is Samuel Otto enrolled in Medicare?

Yes. Samuel Otto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Otto was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.