RANDOLPH OTTO MD
NPI 1881767606
Radiology - Pediatric Radiology in Tacoma, WA
About Randolph Otto Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDOLPH OTTO MD (NPI 1881767606) is an individual pediatric radiology provider in Tacoma, Washington, licensed in Washington (00027380) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Randolph Otto 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.
Medicare Billing Reassignments
3Medicare enrollment records show Randolph Otto reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98118
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Seattle Childrens Hospital
- 912 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
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 Randolph Otto's NPI number?
The NPI number for Randolph Otto is 1881767606. It was assigned to this individual provider in the NPPES registry on November 17, 2006.
Where is Randolph Otto located?
Randolph Otto practices at 2202 S Cedar St Ste 200, Tacoma, WA 98405. The listed phone number is (253) 383-1099.
What is Randolph Otto's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.
Is Randolph Otto enrolled in Medicare?
Yes. Randolph Otto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Randolph Otto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randolph Otto reassigns Medicare benefits to 3 organizations: Seattle Children's Hospital (Seattle, WA), The Association Of University Physicians (Seattle, WA) and Association Of Chmc And University Physicians (Seattle, WA). Each 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 Randolph Otto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randolph Otto accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Randolph Otto 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 Randolph Otto was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Randolph Otto, MD · NPI 1881767606
Pediatric Radiology physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since November 17, 2006.
## Identity
- **NPI:** 1881767606 (Entity type: Individual)
- **Enumerated:** November 17, 2006
- **Primary specialty:** Radiology - Pediatric Radiology · taxonomy 2085P0229X
- **State license:** 00027380 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2202 S CEDAR ST STE 200, Tacoma, WA 98405-2318
- **Phone:** (253) 383-1099 · **Fax:** (253) 383-3919
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Seattle Children's Hospital (NPI 1134251747, Seattle, WA); The Association Of University Physicians (NPI 1023041159, Seattle, WA); Association Of Chmc And University Physicians (NPI 1215153671, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 1985
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 8125395 (WA); Medicare UPIN E09058 (WA); Medicare ID-Type Unspecified OO1055620 (WA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1881767606) · Data from the CMS NPPES public registry.