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MOTAZ OTHMAN ACNPC-AG
NPI 1992651970
Nurse Practitioner - Acute Care in Riverside, CA

Active since March 10, 2026PECOS Enrolled
14319 MARTIN PL, RIVERSIDE, CA 92503(951) 880-5628 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Motaz Othman Acnpc-ag NPPES

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

MOTAZ OTHMAN ACNPC-AG (NPI 1992651970) is an individual acute care provider in Riverside, California, licensed in California (95038837) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992651970
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMOTAZ OTHMANCredential: ACNPC-AG
Location Address14319 MARTIN PLRiverside, CA 92503-7461
Mailing Address14319 Martin PlRiverside, CA 92503-7461
Phone(951) 880-5628
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1992651970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95038837
14319 MARTIN PL, Riverside, CA 92503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Motaz Othman Acnpc-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870058910
PECOS Enrollment IDI20260720002981
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.

Medicare Billing Reassignment

Medicare enrollment records show Motaz Othman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samer Moghaddam MD, Apc
27 mi
Internal Medicine
902 N GRAND AVE STE 201
Santa Ana, CA 92701
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1962978114 (657) 212-5177

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Motaz Othman's NPI number?

The NPI number for Motaz Othman is 1992651970. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Motaz Othman located?

Motaz Othman practices at 14319 Martin Pl, Riverside, CA 92503. The listed phone number is (951) 880-5628.

What is Motaz Othman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Motaz Othman enrolled in Medicare?

Yes. Motaz Othman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Motaz Othman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Motaz Othman reassigns Medicare benefits to Samer Moghaddam MD, Apc (Santa Ana, CA). The 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 Motaz Othman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Motaz Othman was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.