RIICHI ANDRE OTA M.D. - NPI 1891318127 - Psychiatry & Neurology in Jackson, MS

Q: What is Riichi Ota's NPI number?

The NPI number for Riichi Ota is 1891318127. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Q: What is Riichi Ota's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Riichi Ota was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

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About Riichi Andre Ota M.d. NPPES

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

RIICHI ANDRE OTA M.D. (NPI 1891318127) is an individual neurology provider in Jackson, Mississippi, licensed in Louisiana (36082) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1891318127

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameRIICHI ANDRE OTACredential: M.D.

Location Address971 LAKELAND DR STE 557Jackson, MS 39216-4661

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-4560 · Fax (225) 765-9196

Phone(601) 200-4560

Fax(601) 200-4580

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 21, 2020

Last NPPES UpdateOctober 15, 20253 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1891318127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in LA · 36082✔ Licensed in CA · A194002

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

971 LAKELAND DR STE 557, Jackson, MS 39216

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Secondary Practice Locations 4

Location 14204 Clay StVicksburg, MS 39183-3438 · Phone (601) 200-4560 · Fax (601) 200-4580

Location 2810 E Sunflower Rd Ste 100JCleveland, MS 38732-2828 · Phone (601) 200-4560 · Fax (601) 200-4580

Location 3101 The City Dr SOrange, CA 92868-3201 · Phone (714) 456-8888

Location 4516 Delaware St SEMinneapolis, MN 55455-0356 · Phone (612) 624-7374

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riichi Andre Ota M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547689218

PECOS Enrollment IDI20260213003653

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 39216 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 10

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

MRS. CHRISTIAN R FORTENBERRY FNP

Nurse Practitioner (Family)