DR. SAMUEL JAMES OTTO M.D.
NPI 1154565273
Urology in Milwaukee, WI
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
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Otto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84111
- Reassigned Medicare billing, Texas enrollment
- 72 clinicians in this Medicare group
South Jordan, UT 84095
- Reassigned Medicare billing, Utah enrollment
- 5 clinicians in this Medicare group
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 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.
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.
WEST ALLIS, WI 53227
WEST ALLIS, WI 53227
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.
Which organizations bill Medicare for Samuel Otto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Otto reassigns Medicare benefits to 2 organizations: Confederated Tribes Of The Goshute Reservation (Salt Lake City, UT) and Tooele Urology LLC (South Jordan, UT). 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 Samuel Otto'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 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 8 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.
# Dr. Samuel James Otto, M.D. · NPI 1154565273
Urology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 21, 2009.
## Identity
- **NPI:** 1154565273 (Entity type: Individual)
- **Enumerated:** April 21, 2009
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 19702 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2424 S 90TH ST, SUITE 408, Milwaukee, WI 53227-2455
- **Phone:** (414) 385-2716
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Confederated Tribes Of The Goshute Reservation (NPI 1992141964, Salt Lake City, UT); Tooele Urology LLC (NPI 1457599912, South Jordan, UT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2018
- **Other identifiers:** Medicaid 1154565273 (UT); Medicaid 1154565273 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1154565273) · Data from the CMS NPPES public registry.