BETTY KALIANDA OETAMA M.D.
NPI 1720049356
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX

Q: What is Betty Oetama's NPI number?

The NPI number for Betty Oetama is 1720049356. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Betty Oetama's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Betty Oetama was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 31, 2006PECOS Enrolled

2525 WEST BELLFORT STREET, STE 120, HOUSTON, TX 77054(713) 741-6677(713) 748-5860 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Betty Kalianda Oetama M.d. NPPES

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

BETTY KALIANDA OETAMA M.D. (NPI 1720049356) is an individual anatomic pathology & clinical pathology provider in Houston, Texas, licensed in Texas (L6132) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720049356

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameBETTY KALIANDA OETAMACredential: M.D.

Location Address2525 WEST BELLFORT STREET, STE 120Houston, TX 77054-5024

Mailing AddressPo Box 421849Houston, TX 77242-1849 · (713) 559-6929 · Fax (713) 559-6928

Phone(713) 741-6677

Fax(713) 748-5860

Sole ProprietorNo

Enumeration DateMarch 31, 2006

Last NPPES UpdateMarch 30, 2018

✔ NPI 1720049356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in TX · L6132✔ Licensed in AL · 00025871

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

2525 WEST BELLFORT STREET, Houston, TX 77054

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Other Identifiers 2

Medicaid176504201TX

Medicaid176504202TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Betty Kalianda Oetama M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 9

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

DR. MARY ELAINE KLING M.D.

Pathology (Anatomic Pathology & Clinical Pathology)