ORITSETIMEYIN E OTUBU-SCIPIO M.D. NPI 1023062684

NPI Information

  • NPI: 1023062684
  • Provider Name: ORITSETIMEYIN E OTUBU-SCIPIO, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14555 W NATIONAL AVE
    NEW BERLIN, WI
    ZIP 53151
  • Phone: (844) 284-0381

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NPI Details

Oritsetimeyin E Otubu-scipio, M.D. is a family medicine in New Berlin, WI with 29 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Oritsetimeyin E Otubu-scipio, M.D. NPI is 1023062684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

14555 W NATIONAL AVE
NEW BERLIN, WI
ZIP 53151-494
Phone: (844) 284-0381

The NPI 1023062684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine102411-875WISCONSINYes
2207Q00000XFamily MedicineT5422TEXASNo
3207Q00000XFamily Medicine2022011593MISSOURINo
4207Q00000XFamily Medicine01087389AINDIANANo
5207Q00000XFamily Medicine65342CONNECTICUTNo
6207Q00000XFamily Medicine35.139913OHIONo
7207Q00000XFamily Medicine0101265021VIRGINIANo
8207Q00000XFamily Medicine2018-01735NORTH CAROLINANo
9207Q00000XFamily Medicine51978KENTUCKYNo
10207Q00000XFamily Medicine70814MINNESOTANo
11207Q00000XFamily Medicine19570SOUTH CAROLINANo
12207Q00000XFamily Medicine036174163ILLINOISNo
13207Q00000XFamily MedicineC159878CALIFORNIANo
14207Q00000XFamily MedicineME146470FLORIDANo
15207Q00000XFamily MedicineMD466228PENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15911258MEDICAIDNORTH CAROLINA
2100301311MEDICAIDWISCONSIN
3197500MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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