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

Mathew Otto

Individual provider Physician Assistant · NPI 1194130179

Mathew Otto is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2014, 12 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
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Practice location Address checks out

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone: (414) 646-2550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 W Kinnickinnic River Pkwy # 3, Milwaukee, WI 53215-3669 — (262) 391-5659

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3324-23 (WI)

Record details

NPI number1194130179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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