DR. BRADY KAHLIG OTTEN MD
NPI 1720540636
Internal Medicine - Pulmonary Disease in Avon, OH

Q: What is Brady Otten's NPI number?

The NPI number for Brady Otten is 1720540636. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Brady Otten's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Brady Otten was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 April 01, 2019PECOS EnrolledAccepts Medicare Assignment

33100 CLEVELAND CLINIC BLVD, AVON, OH 44011(440) 695-4000 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2025, Jun 7, 2022, Apr 1, 2019 (3 updates tracked since 2019).

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About Dr. Brady Kahlig Otten Md NPPES

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

DR. BRADY KAHLIG OTTEN MD (NPI 1720540636) is an individual pulmonary disease provider in Avon, Ohio, licensed in Ohio (35.154455) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2019).

NPPES Registry Identity

NPI1720540636

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. BRADY KAHLIG OTTENCredential: MD

Location Address33100 CLEVELAND CLINIC BLVDAvon, OH 44011-1390

Mailing Address2075 W 25th St Apt 710Cleveland, OH 44113-4152

Phone(440) 695-4000

Sole ProprietorYes

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2019

Enumeration DateApril 1, 2019

Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1720540636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OH · 35.154455

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License LL87960 (SC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

33100 CLEVELAND CLINIC BLVD, Avon, OH 44011

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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. Brady Kahlig Otten 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 ID3072846948

PECOS Enrollment IDI20250820000626

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairview Hospital

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360077

Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44011 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

MRS. NANCY ALICE ADAMS P.T.

Physical Therapist