TARA M. OTTO MD – NPI #1356509038
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

TARA OTTO is a radiologist located in FORT WALTON BEACH, FL. NPPES has assigned the NPI number 1356509038 to TARA OTTO on May 29, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name TARA MARIE BRENTS. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Apr 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TARA OTTO below.

NPI Profile for
TARA M. OTTO

NPI Number
1356509038
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TARA M. OTTO
Former Name: TARA MARIE BRENTS
Credentials
MD
Primary location
220 FLIVA AVE NW
FORT WALTON BEACH, FL 32548
Phone: (952) 595-1100 Fax: (612) 294-4903
Mailing address
11995 SINGLETREE LN
STE 500
EDEN PRAIRIE, MN 55344-5347
Phone: (952) 595-1301 Fax: (612) 294-4903
Sole Proprietor
No
Updated
Certification Date
Apr 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 MO 2021040905

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE - Graduated 2007
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TARA OTTO is affiliated with the following medical group(s):
  • HOSPITAL
    • BAYFRONT HEALTH PORT CHARLOTTE
      2500 HARBOR BLVD
      PORT CHARLOTTE, FL 33952
    • GOOD SAMARITAN HOSPITAL MEDICAL CENTER
      1000 MONTAUK HIGHWAY
      WEST ISLIP, NY 11795
    • ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
      ONE HAMILTON HEALTH PLACE
      HAMILTON, NJ 08690
    • ST FRANCIS HOSPITAL - THE HEART CENTER
      100 PORT WASHINGTON BOULEVARD
      ROSLYN, NY 11576
    • ST MARY MEDICAL CENTER
      LANGHORNE-NEWTOWN RD
      LANGHORNE, PA 19047

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