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

Dr. Raymond J Otto, MD

Individual provider Emergency Medicine Physician · NPI 1063455301

Dr. Raymond J Otto, MD is an Emergency Medicine in Boise, Idaho. Graduated from Medical College of Wisconsin in 1992, 34 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
34
Trained at
Medical College of Wisconsin
Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 Robbins Rd
Boise, ID 83702
Phone: (208) 489-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PE0005X · Licence M-9590 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence M-9590 (ID)

Record details

NPI number1063455301
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESAugust 3, 2018
Mailing addressPo Box 165, Boise, ID 83701-0165

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1992 (34 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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