DR. THEODORE IKECHUKWU OTTI (M.D.) – Nephrology Physician, NPI 1316950884

DR. THEODORE IKECHUKWU OTTI (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 103005 (MO). The NPI Number for DR. THEODORE IKECHUKWU OTTI (M.D.) is 1316950884

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. THEODORE IKECHUKWU OTTI (M.D.)
NPI
1316950884
Phone
(314) 577-5778
Address
3535 S Jefferson Ave
Enumeration Date
14 August 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145340909
Graduation Year
1983 (43 years ago)
PAC ID
4789633348
Professional Enrollment ID
I20080827000043
Address ID
MO631032502SA2610XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

319 NEPHROLOGY in MO

Provider Addresses for DR. THEODORE IKECHUKWU OTTI (M.D.)

  • 3535 S Jefferson Ave

    SUITE 201

    Saint Louis, MO 631183930

    Phone: (314) 577-5778

    Fax: (636) 939-1629

    Type: Location

  • 1035 BELLEVUE AVE STE 315

    RICHMOND HEIGHTS, MO 631171856

    Phone: (314) 683-6110

    Fax: (314) 485-2136

    Type: Location

  • Chesterfield Post Office, 4, New Beetwell Street, Spital, Birdholme, Chesterfield, Derbyshire, East Midlands, England, S40 1PA, United Kingdom

    CHESTERFIELD, MO 630064031

    Phone: (314) 577-5778

    Fax: (636) 939-1629

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($88).

Total Amount

$150

General + Research + Ownership

Payments

4

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-08-27

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
I20080827000043INephrologyMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90970Dialysis services, per day, less than full month service (20 years or older)19419$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)13021$0
View full utilization report →

Insurance plans in this area (ZIP 63118)

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Reviews

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Frequently asked questions

How do I look up DR. THEODORE IKECHUKWU OTTI (M.D.) by NPI?
Use NPI 1316950884 when you need to reference DR. THEODORE IKECHUKWU OTTI (M.D.) in forms, claims, or directories.
Is DR. THEODORE IKECHUKWU OTTI (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. THEODORE IKECHUKWU OTTI (M.D.) work in?
You can think of DR. THEODORE IKECHUKWU OTTI (M.D.) as practicing within Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. THEODORE IKECHUKWU OTTI (M.D.)?
The snapshot lists Saint Louis, Missouri for DR. THEODORE IKECHUKWU OTTI (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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