DR. ANITA OTT (DO) – Family Medicine Physician, NPI 1013080878

DR. ANITA OTT (DO) is a healthcare provider. based in Drexel hill, Pennsylvania. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. OS008470L (PA). The NPI Number for DR. ANITA OTT (DO) is 1013080878

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANITA OTT (DO)
NPI
1013080878
Phone
(610) 394-1365
Address
5030 STATE ROAD
Enumeration Date
17 November 2006
Last Update Date
22 April 2014

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6103941350
Graduation Year
1993 (33 years ago)
PAC ID
6305911710
Group Practice PAC ID
5698065142
Professional Enrollment ID
I20080820000168
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

Provider Addresses for DR. ANITA OTT (DO)

  • 5030 STATE ROAD

    SUITE 2-400

    DREXEL HILL, PA 190264605

    Phone: (610) 394-1365

    Fax: (610) 394-1368

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080820000168IFamily PracticePATBD
I20200507001158IFamily PracticeDETBD

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 19026)

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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: 5698065142View full group profile

Reviews

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Frequently asked questions

Does DR. ANITA OTT (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ANITA OTT (DO) uses 1013080878.
Is DR. ANITA OTT (DO) listed as active for patients and plans?
The listing shows DR. ANITA OTT (DO) as active in the NPI system.
What taxonomy line describes DR. ANITA OTT (DO)?
For research purposes, treat DR. ANITA OTT (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANITA OTT (DO)?
DR. ANITA OTT (DO)'s geographic hint is Drexel Hill, Pennsylvania in our summary view.
Is the information about DR. ANITA OTT (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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