DR. ALEC DAVID OTTEMAN M.D. NPI 1619138849

NPI Information

  • NPI: 1619138849
  • Provider Name: DR. ALEC DAVID OTTEMAN, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1997 SLOAN PL STE 17
    MAPLEWOOD, MN
    ZIP 55117
  • Phone: (651) 772-6251

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NPI Details

DR. Alec David Otteman, M.D. is a nephrology internal medicine in Maplewood, MN with 18 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Alec David Otteman, M.D. NPI is 1619138849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

1997 SLOAN PL STE 17
MAPLEWOOD, MN
ZIP 55117-051
Phone: (651) 772-6251
Fax: (651) 294-9661

The NPI 1619138849 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Analysis of central arterial pressure with review by physician (HCPCS:93050)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Dialysis services, 1 physician visit per month (20 years or older) (HCPCS:90962)
  • Hemodialysis procedure with physician evaluation (HCPCS:90935)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 6/20/2008 and was last updated on 10/25/2022.

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
1207R00000XInternal Medicine52024MINNESOTANo
2207RN0300XInternal MedicineNephrology52024MINNESOTAYes

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
11619138849MEDICAIDMINNESOTA

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

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