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

Peter Ottavio, DO

Individual provider Internal Medicine Physician · NPI 1093750028

Peter Ottavio, DO is a Pulmonary Disease in Port Jefferson Station, New York. Qualified in 2000, 26 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1500 Route 112 Ste B
Port Jefferson Station, NY 11776-8055
Phone: (631) 978-7633
Fax: (631) 621-4115
Show map & directions

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

Additional practice locations (1)

  • 200 Motor Pkwy Ste C-16, Hauppauge, NY 11788-5114 — (631) 978-7633

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 232660 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 232660 (NY)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 232660 (NY)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 232660 (NY)

Record details

NPI number1093750028
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Port Jefferson Station