OTTWELL DERMATOLOGY PLLC
NPI 1700671492
Clinic/Center - Medical Specialty in Tulsa, OK
About Ottwell Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OTTWELL DERMATOLOGY PLLC (NPI 1700671492) is a healthcare organization registered as a medical specialty in Tulsa, Oklahoma and active in the NPI registry since April 2025. The organization lists Ryan Lucas Ottwell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ottwell Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ottwell Dermatology PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ottwell Dermatology PLLC's NPI number?
The NPI number for Ottwell Dermatology PLLC is 1700671492. It was assigned to this organization in the NPPES registry on April 12, 2025.
Where is Ottwell Dermatology PLLC located?
Ottwell Dermatology PLLC is located at 3915 E 51st St, Tulsa, OK 74135. The listed phone number is (918) 991-8718.
What is Ottwell Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Ottwell Dermatology PLLC enrolled in Medicare?
Yes. Ottwell Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ottwell Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Ottwell Dermatology PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ottwell Dermatology PLLC accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Ottwell Dermatology PLLC 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 Ottwell Dermatology PLLC was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ottwell Dermatology Pllc · NPI 1700671492
Medical Specialty organization in Tulsa, Oklahoma. Organization record, active in the CMS NPPES registry since April 12, 2025.
## Identity
- **NPI:** 1700671492 (Entity type: Organization)
- **Enumerated:** April 12, 2025
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Ryan Ottwell, OWNER
## Practice location
- **Address:** 3915 E 51ST ST, Tulsa, OK 74135-3605
- **Phone:** (918) 991-8718
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700671492) · Data from the CMS NPPES public registry.