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FREDRICK ODHIAMBO OTIENO
NPI 1285489948
Student in an Organized Health Care Education/Training Program in Galveston, TX

Active since April 17, 2024PECOS Enrolled
301 UNIVERSITY BOULEVARD, GALVESTON, TX 77555(409) 747-0534 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2024, Apr 17, 2024 (2 updates tracked since 2024).

About Fredrick Odhiambo Otieno NPPES

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

FREDRICK ODHIAMBO OTIENO (NPI 1285489948) is an individual student in an organized health care education/training program in Galveston, Texas and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285489948
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFREDRICK ODHIAMBO OTIENO
Location Address301 UNIVERSITY BOULEVARDGalveston, TX 77555-0354
Mailing Address301 University BoulevardGalveston, TX 77555-0354 · (409) 747-0534
Phone(409) 747-0534
Sole ProprietorNo
Enumeration DateApril 17, 2024
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
✔ NPI 1285489948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

301 UNIVERSITY BOULEVARD, Galveston, TX 77555
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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 (PECOS)

Fredrick Odhiambo Otieno 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.

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.

CAMERON LOUIS HOLGUIN MD
Student in an Organized Health Care Education/Training Program
301 UNIVERSITY BOULEVARD, 5.534 JENNIE SEALY HOSPITAL
GALVESTON, TX 77555
Galveston County (409) 266-7856
COLTON MICHAEL ROATH MD
Student in an Organized Health Care Education/Training Program
301 UNIVERSITY BOULEVARD, 5.504 JENNIE SEALY HOSPITAL
GALVESTON, TX 77555
Galveston County (409) 266-7856
DR. JIANLI DONG MD PHD
Medical Genetics (Clinical Molecular Genetics)
301 UNIVERSITY BOULEVARD
GULVESTON, TX 77555
Galveston County (409) 772-4866
RANJIT TIWARI MD
Internal Medicine (Infectious Disease)
301 UNIVERSITY BOULEVARD
GALVESTON, TX 77555
Galveston County (409) 256-2685
SHIZA SAID
Internal Medicine
301 UNIVERSITY BOULEVARD
GALVESTON, TX 77555
Galveston County (409) 772-2653
DR. EDGAR WONG MD
Anesthesiology
301 UNIVERSITY BOULEVARD, 5.504 JENNIE SEALY HOSPITAL
GALVESTON, TX 77555
Galveston County (409) 266-7856
SAAD ALI ANSARI M.D.
Internal Medicine (Cardiovascular Disease)
301 UNIVERSITY BOULEVARD
GALVESTON, TX 77555
Galveston County (409) 762-2328
DR. ROBERT MCQUITTY MD
Otolaryngology
301 UNIVERSITY BOULEVARD
GALVESTON, TX 77555
Galveston County (409) 772-2701

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 Fredrick Otieno's NPI number?

The NPI number for Fredrick Otieno is 1285489948. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Fredrick Otieno located?

Fredrick Otieno practices at 301 University Boulevard, Galveston, TX 77555. The listed phone number is (409) 747-0534.

What is Fredrick Otieno's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Fredrick Otieno enrolled in Medicare?

Yes. Fredrick Otieno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fredrick Otieno was last updated on August 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.