DR. JOHNSON OTONG MD
NPI 1477970713
General Practice in St Petersburg, FL

Q: What is Johnson Otong's NPI number?

The NPI number for Johnson Otong is 1477970713. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Q: What is Johnson Otong's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Johnson Otong was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 March 25, 2014PECOS EnrolledAccepts Medicare Assignment

6703 38TH AVE N, ST PETERSBURG, FL 33710(727) 213-5377(727) 828-9639 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Jan 6, 2025, Sep 11, 2024 and 1 more (4 updates tracked since 2024).

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About Dr. Johnson Otong Md NPPES

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

DR. JOHNSON OTONG MD (NPI 1477970713) is an individual general practice provider in St Petersburg, Florida, licensed in Florida (ACN1650) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1477970713

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JOHNSON OTONGCredential: MD

Location Address6703 38TH AVE NSt Petersburg, FL 33710-1536

Mailing AddressPo Box 850001, Dept 8340Orlando, FL 32885-0001 · (813) 536-7277 · Fax (855) 830-1722

Phone(727) 213-5377

Fax(727) 828-9639

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMarch 25, 2014

Last NPPES UpdateOctober 27, 20254 updates tracked since enumeration

NPPES CertifiedOctober 27, 2025

✔ NPI 1477970713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ACN1650

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

6703 38TH AVE N, St Petersburg, FL 33710

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Johnson Otong Md 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 ID7810219029

PECOS Enrollment IDI20250110001273

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 9

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

DR. NILSA RAQUEL SANCHEZ M.D.

Family Medicine (Geriatric Medicine)