Maxwell James Otto, MD - Medicare Colon & Rectal Surgery in Salt Lake City, UT

  1. Home
Maxwell James Otto, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Salt Lake City, Utah. His current practice location is 1250 E 3900 S Ste 320, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 263-1621.

Maxwell James Otto is licensed to practice in Utah (license number 13339040-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770078982.

Contact Information

Maxwell James Otto, MD
1250 E 3900 S Ste 320,
Salt Lake City, UT 84124-1350
(801) 263-1621
Not Available

Map and Direction




Physician's Profile

Full NameMaxwell James Otto
GenderMale
SpecialityColon & Rectal Surgery
Location1250 E 3900 S Ste 320, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770078982
  • Provider Enumeration Date: 06/29/2018
  • Last Update Date: 01/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395099725
  • Enrollment ID: I20181121000450

Medical Identifiers

Medical identifiers for Maxwell James Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770078982NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 13339040-1205 (Utah)Secondary
208C00000XColon & Rectal Surgery 13339040-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maxwell James Otto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maxwell James Otto, MD
1250 E 3900 S Ste 320,
Salt Lake City, UT 84124-1350

Ph: (801) 263-1621		Maxwell James Otto, MD
1250 E 3900 S Ste 320,
Salt Lake City, UT 84124-1350

Ph: (801) 263-1621

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.