Otis Allen MD SC
NPI 1457629842ActiveOrganization· Plastic Surgery· Bloomington, IL
Plastic Surgery in Bloomington, Illinois, registered in NPPES in December 2011. The authorized official on file is Margaret A. Allen, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457629842 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2011 |
| Last updated in NPPES | Dec 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 036064804 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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