DR. OTABEK PULATOV MD
NPI 1699276618
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is Otabek Pulatov's NPI number?

The NPI number for Otabek Pulatov is 1699276618. It was assigned to this individual provider in the NPPES registry on February 25, 2018.

Q: What is Otabek Pulatov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Otabek Pulatov was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 25, 2018PECOS Enrolled

5323 HARRY HINES BLVD, DALLAS, TX 75390(347) 586-7775 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Mar 17, 2018, Feb 25, 2018 (3 updates tracked since 2018).

On this page

About Dr. Otabek Pulatov Md NPPES

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

DR. OTABEK PULATOV MD (NPI 1699276618) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699276618

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. OTABEK PULATOVCredential: MD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201

Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201 · (347) 586-7775

Phone(347) 586-7775

Sole ProprietorNo

Enumeration DateFebruary 25, 2018

Last NPPES UpdateApril 20, 20263 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1699276618 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.

5323 HARRY HINES BLVD, Dallas, TX 75390

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Otabek Pulatov 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.

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. TANYA MARIE PLETIN PA-C

Physician Assistant