OTTO WILLIAM PANTOJA (MD) – Obstetrics & Gynecology Physician, NPI 1780905828

OTTO WILLIAM PANTOJA (MD) is a healthcare provider. based in Tripler army medical center, Hawaii. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. R8802 (TX). The NPI Number for OTTO WILLIAM PANTOJA (MD) is 1780905828

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
OTTO WILLIAM PANTOJA (MD)
NPI
1780905828
Phone
Not provided
Address
1 JARRETT WHITE RD
Enumeration Date
11 June 2010
Last Update Date
28 January 2020

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
8326326500
Graduation Year
2010 (16 years ago)
PAC ID
4486941382
Group Practice PAC ID
3375456734
Professional Enrollment ID
I20181005000374
Address ID
TX775984204WE200XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

261 OBSTETRICS/GYNECOLOGY in HI

Provider Addresses for OTTO WILLIAM PANTOJA (MD)

  • 1 JARRETT WHITE RD

    TRIPLER ARMY MEDICAL CENTER

    TRIPLER ARMY MEDICAL CENTER, HI 968595001

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-06-27 • Largest payer in this snapshot: Ethicon US, LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181005000374IObstetrics/GynecologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96859)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375456734View full group profile
NameSpecialtyState
-TX
-TX
-NY
Sleep Medicine, Critical Care (Intensivists)TX
Surgical OncologyNY
General SurgeryTN
General SurgeryGA
U R O L O G YNY
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What identifier follows OTTO WILLIAM PANTOJA (MD) across health systems?
The NPI 1780905828 uniquely identifies OTTO WILLIAM PANTOJA (MD) in U.S. healthcare data.
Quick check: is OTTO WILLIAM PANTOJA (MD) active?
Public NPPES data shows OTTO WILLIAM PANTOJA (MD) with an active NPI status right now.
What type of care does OTTO WILLIAM PANTOJA (MD) provide?
OTTO WILLIAM PANTOJA (MD)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit OTTO WILLIAM PANTOJA (MD) in Tripler Army Medical Center, Hawaii?
For routing, start with Tripler Army Medical Center, Hawaii for OTTO WILLIAM PANTOJA (MD), then verify phone and hours locally.
Can I export OTTO WILLIAM PANTOJA (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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