What is Michael Otruba's NPI number?

Michael Otruba's National Provider Identifier (NPI) is 1649255316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Otruba's specialty?

Michael Otruba is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Michael Otruba located?

Michael Otruba's practice location on file with NPPES is 161 Two Pond Loop, Ladson, SC 29456-6917.

What is Michael Otruba's phone number?

The practice phone number listed in the NPPES registry for Michael Otruba is (843) 475-1020.

Is Michael Otruba's NPI active?

Yes — Michael Otruba's NPI (1649255316) is active in the NPPES registry as of the last update on 2019-08-01.

IndividualActive

Michael Otruba, D.O.

NPI 1649255316 · Internal Medicine Physician · Ladson, SC

Michael Otruba, D.O. is a Internal Medicine Physician provider in Ladson, SC (NPI 1649255316).

Provider details

NPI number: 1649255316
Entity type: Individual
Primary specialty: Internal Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: D.O.
Sex: Male
Sole proprietor: No
License: 000312 (SC)

Specialties & taxonomies

Internal Medicine PhysicianPrimary207R00000XLicense 000312 (SC)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

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

Registry tenure38% of score
20 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

161 Two Pond Loop

Ladson, SC 29456-6917

Phone: (843) 475-1020

Street-level locationGet directions

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Mailing address