Otero Medical Center, S.c.
NPI 1639306640 · Family Medicine Physician · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Otero Medical Center, S.c. is a Family Medicine Physician organization in Chicago, IL (NPI 1639306640).
Provider details
- NPI number
- 1639306640
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Otero, President(773) 772-4900
- License
- 036102552 (IL)
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
17 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2009-06-17
- Last updated
- 2013-08-08
Frequently asked questions
- What is Otero Medical Center, S.c.'s NPI number?
- Otero Medical Center, S.c.'s National Provider Identifier (NPI) is 1639306640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Otero Medical Center, S.c.?
- Otero Medical Center, S.c. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Otero Medical Center, S.c. located?
- Otero Medical Center, S.c.'s practice location on file with NPPES is 4911 W Fullerton Ave, Chicago, IL 60639-2505.
- What is Otero Medical Center, S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Otero Medical Center, S.c. is (773) 772-4900.
- Does Otero Medical Center, S.c. accept Medicare?
- Otero Medical Center, S.c. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Otero Medical Center, S.c.?
- The authorized official listed on Otero Medical Center, S.c.'s NPPES record is William Otero, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Otero Medical Center, S.c.'s NPI active?
- Yes — Otero Medical Center, S.c.'s NPI (1639306640) is active in the NPPES registry as of the last update on 2013-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.