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

Dr. Theodore Ikechukwu Otti, MD

Individual provider Nephrology Physician · NPI 1316950884

Dr. Theodore Ikechukwu Otti, MD is a Nephrology in Richmond Heights, Missouri. Qualified in 1983, 43 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
43
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1035 Bellevue Ave Ste 315
Richmond Heights, MO 63117-1856
Phone: (314) 683-6110
Fax: (314) 485-2136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 S Jefferson Ave, Saint Louis, MO 63118-3930 — (314) 577-5778

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 103005 (MO)

Record details

NPI number1316950884
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 14, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare