DR. THEODORE IKECHUKWU OTTI M.D.
NPI 1316950884
Internal Medicine - Nephrology in Richmond Heights, MO

Q: What is Theodore Otti's NPI number?

The NPI number for Theodore Otti is 1316950884. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Theodore Otti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Otti was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment

1035 BELLEVUE AVE STE 315, RICHMOND HEIGHTS, MO 63117(314) 683-6110(314) 485-2136 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 13, 2017 (3 updates tracked since 2017).

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About Dr. Theodore Ikechukwu Otti M.d. NPPES

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

DR. THEODORE IKECHUKWU OTTI M.D. (NPI 1316950884) is an individual nephrology provider in Richmond Heights, Missouri, licensed in Missouri (103005) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1316950884

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. THEODORE IKECHUKWU OTTICredential: M.D.

Location Address1035 BELLEVUE AVE STE 315Richmond Heights, MO 63117-1856

Mailing AddressPo Box 4031Chesterfield, MO 63006-4031 · (314) 577-5778 · Fax (636) 939-1629

Phone(314) 683-6110

Fax(314) 485-2136

Sole ProprietorYes

Medical School CMSOtherGraduated 1983

Enumeration DateAugust 14, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1316950884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MO · 103005

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1035 BELLEVUE AVE STE 315, Richmond Heights, MO 63117

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Secondary Practice Location 1

Location 13535 S Jefferson Ave, SUITE 201Saint Louis, MO 63118-3930 · Phone (314) 577-5778 · Fax (636) 939-1629

Other Identifiers 1

Medicaid208601823MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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. Theodore Ikechukwu Otti 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 ID4789633348

PECOS Enrollment IDI20080827000043

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

118 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260091

Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 2

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

TOTAL FOOT CARE LLC

Podiatrist (Foot & Ankle Surgery)

1035 BELLEVUE AVE STE 315
SAINT LOUIS, MO 63117

St. Louis County (314) 473-1296

PODIAPEDICS FOOT SURGERY & WOUND

Podiatrist (Foot & Ankle Surgery)

1035 BELLEVUE AVE STE 315
SAINT LOUIS, MO 63117

St. Louis County (314) 473-1296

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 Theodore Otti's NPI number?

The NPI number for Theodore Otti is 1316950884. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Theodore Otti located?

Theodore Otti practices at 1035 Bellevue Ave Ste 315, Richmond Heights, MO 63117. The listed phone number is (314) 683-6110.

What is Theodore Otti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Theodore Otti enrolled in Medicare?

Yes. Theodore Otti is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Otti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Theodore Otti 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.

Is Theodore Otti affiliated with any hospitals?

According to CMS data, Theodore Otti is affiliated with Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Theodore Otti was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.