Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Leo Ryo Otake, MD, PHD

Individual provider Plastic Surgery Physician · NPI 1770761025

Dr. Leo Ryo Otake, MD, PHD is a Plastic and Reconstructive Surgery in Darien, Connecticut. Graduated from Yale University School of Medicine in 2002, 24 years ago. Practices with Prospect CT Medical Foundation Inc, a 289-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
24
Trained at
Yale University School of Medicine
Licensed in
CT, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

722 Post Rd
Darien, CT 06820
Phone: (203) 656-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 046053 (CT)
Plastic Surgery Physician Taxonomy 208200000X · Licence 246657 (NY)

Record details

NPI number1770761025
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedFebruary 7, 2008
Last updated in NPPESMay 14, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Prospect Ct Medical Foundation Inc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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