What is Ezra Otto's NPI number?

Ezra Otto's National Provider Identifier (NPI) is 1164354320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ezra Otto's specialty?

Ezra Otto is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).

Where is Ezra Otto located?

Ezra Otto's practice location on file with NPPES is 2750 W North Ave, Chicago, IL 60647-5247.

What is Ezra Otto's phone number?

The practice phone number listed in the NPPES registry for Ezra Otto is (312) 666-3494.

Is Ezra Otto's NPI active?

Yes — Ezra Otto's NPI (1164354320) is active in the NPPES registry as of the last update on 2026-06-02.

IndividualActive

Ezra Otto

NPI 1164354320 · Family Nurse Practitioner · Chicago, IL

Ezra Otto is a Family Nurse Practitioner provider in Chicago, IL (NPI 1164354320).

Provider details

NPI number: 1164354320
Entity type: Individual
Primary specialty: Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: No
License: 041.606821 (IL)

Specialties & taxonomies

Family Nurse PractitionerPrimary363LF0000XLicense 041.606821 (IL)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2750 W North Ave

Chicago, IL 60647-5247

Phone: (312) 666-3494

Street-level locationGet directions

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Mailing address