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FLOYD SHIZUO OTA MD
NPI 1598725186
Pediatrics - Pediatric Emergency Medicine in Fort Worth, TX

Active since March 27, 2006PECOS Enrolled
801 7TH AVE, FORT WORTH, TX 76104(682) 885-3199(682) 885-7499 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About Floyd Shizuo Ota Md NPPES

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

FLOYD SHIZUO OTA MD (NPI 1598725186) is an individual pediatric emergency medicine provider in Fort Worth, Texas, licensed in Texas (L5500) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598725186
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameFLOYD SHIZUO OTACredential: MD
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Phone(682) 885-3199
Fax(682) 885-7499
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
✔ NPI 1598725186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in TX · L5500
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
801 7TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Floyd Shizuo Ota Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Floyd Ota reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
Same address
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RACHEL MARIE SOUERS M.D.
Pediatrics
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-6726
JAMIE L COLE LCSW
Social Worker (Clinical)
801 7TH AVE, CASE MANAGEMENT
FORT WORTH, TX 76104
Tarrant County (682) 885-3991
ANNE MARCUM KIRK M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
KRISTI E TUCKER FNP
Nurse Practitioner (Family)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
ISAAC WILSON RN
Registered Nurse
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4000
DR. BRITTON MICHAEL DEVILLIER M.D., M.P.H.
Emergency Medicine (Pediatric Emergency Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-4095
DR. PHUONG THI NGUYEN M.D.
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
DR. MIRIAM ALLISON BLUM DO
Hospitalist
801 7TH AVE
FORT WORTH, TX 76104
Tarrant County (682) 885-1475

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 Floyd Ota's NPI number?

The NPI number for Floyd Ota is 1598725186. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Floyd Ota located?

Floyd Ota practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-3199.

What is Floyd Ota's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Floyd Ota enrolled in Medicare?

Yes. Floyd Ota is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Floyd Ota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Floyd Ota reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Floyd Ota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Floyd Ota accept?

Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Floyd Ota 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.

When was this NPI record last updated?

The NPPES record for Floyd Ota was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.