DR. MICAELA F MIOTTO-OTSUKI M.D.
NPI 1205907094
Family Medicine in Riverside, CA

Q: What is Micaela Miotto-otsuki's NPI number?

The NPI number for Micaela Miotto-otsuki is 1205907094. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Micaela Miotto-otsuki's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment

7140 INDIANA AVE, RIVERSIDE, CA 92504(951) 358-6000(951) 358-6044 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Dec 1, 2021 (2 updates tracked since 2021).

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About Dr. Micaela F Miotto-otsuki M.d. NPPES

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

DR. MICAELA F MIOTTO-OTSUKI M.D. (NPI 1205907094) is an individual family medicine provider in Riverside, California, licensed in California (A78567) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1205907094

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICAELA F MIOTTO-OTSUKICredential: M.D.

Location Address7140 INDIANA AVERiverside, CA 92504-4544

Mailing Address4065 County Circle Dr, Room 309Riverside, CA 92503-3410 · (951) 358-5222 · Fax (951) 358-5235

Phone(951) 358-6000

Fax(951) 358-6044

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateNovember 13, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1205907094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A78567

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7140 INDIANA AVE, Riverside, CA 92504

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Micaela F Miotto-otsuki 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 ID4284679275

PECOS Enrollment IDI20050621000449

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 92504 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

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.

MRS. JACQUELINE S ASHLEY LCSW

Social Worker (Clinical)