KOJI OTA
NPI 1972091866
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 25, 2018PECOS EnrolledAccepts Medicare Assignment
350 E 17TH ST FL 20, NEW YORK, NY 10003(917) 930-0243 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Koji Ota NPPES

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

KOJI OTA (NPI 1972091866) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1972091866
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKOJI OTA
Location Address350 E 17TH ST FL 20New York, NY 10003-3805
Mailing Address350 E 17th St Fl 20New York, NY 10003-3805
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 25, 2018
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1972091866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

350 E 17TH ST FL 20, New York, NY 10003

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

Koji Ota 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 ID6406197102
PECOS Enrollment IDI20240827004045
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
58 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
23 services23 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
12 services12 patients

Other Providers at the Same Location NPPES 13

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

Student in an Organized Health Care Education/Training Program
350 E 17TH ST FL 20
NEW YORK, NY 10003
Student in an Organized Health Care Education/Training Program
350 E 17TH ST FL 20
NEW YORK, NY 10003
Student in an Organized Health Care Education/Training Program
350 E 17TH ST FL 20
NEW YORK, NY 10003
Student in an Organized Health Care Education/Training Program
350 E 17TH ST FL 20
NEW YORK, NY 10003
Student in an Organized Health Care Education/Training Program
350 E 17TH ST FL 20
NEW YORK, NY 10003
Student in an Organized Health Care Education/Training Program
350 E 17TH ST FL 20
NEW YORK, NY 10003
Student in an Organized Health Care Education/Training Program
350 E 17TH ST FL 20
NEW YORK, NY 10003
Student in an Organized Health Care Education/Training Program
350 E 17TH ST FL 20
NEW YORK, NY 10003

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 Koji Ota's NPI number?

The NPI number for Koji Ota is 1972091866. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Koji Ota located?

Koji Ota practices at 350 E 17th St Fl 20, New York, NY 10003. The listed phone number is (917) 930-0243.

What is Koji Ota's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Koji Ota enrolled in Medicare?

Yes. Koji Ota 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.

When was this NPI record last updated?

The NPPES record for Koji Ota was last updated on June 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.