Nolan Otto, MD
NPI 1457053670 · Diagnostic Radiology Physician · Jacksonville, FL
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nolan Otto, MD is a Diagnostic Radiology Physician provider in Jacksonville, FL (NPI 1457053670).
Provider details
- NPI number
- 1457053670
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- TRN38020 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 2020 59th St WBradenton, FL 34209-4604Phone: (941) 567-2582
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Frequently asked questions
- What is Nolan Otto's NPI number?
- Nolan Otto's National Provider Identifier (NPI) is 1457053670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nolan Otto's specialty?
- Nolan Otto is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Nolan Otto located?
- Nolan Otto's practice location on file with NPPES is 4500 San Pablo Rd S, Jacksonville, FL 32224-1865.
- What is Nolan Otto's phone number?
- The practice phone number listed in the NPPES registry for Nolan Otto is (904) 953-2000.
- Does Nolan Otto accept Medicare?
- Nolan Otto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nolan Otto's NPI active?
- Yes — Nolan Otto's NPI (1457053670) is active in the NPPES registry as of the last update on 2024-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.