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

Riichi Andre OTA, MD

Individual provider Neurology Physician · NPI 1891318127

Riichi Andre OTA, MD is a Neurology in Jackson, Mississippi. Qualified in 2017, 9 years ago. Practices as a sole proprietor and works from 5 locations. Licensed in California and Louisiana.

Years since qualifying
9
Licensed in
CA, LA
In the registry since
2020
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

971 Lakeland Dr Ste 557
Jackson, MS 39216-4661
Phone: (601) 200-4560
Fax: (601) 200-4580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 101 The City Dr S, Orange, CA 92868-3201 — (714) 456-8888
  • 516 Delaware St Se, Minneapolis, MN 55455-0356 — (612) 624-7374
  • 810 E Sunflower Rd Ste 100j, Cleveland, MS 38732-2828 — (601) 200-4560
  • 4204 Clay St, Vicksburg, MS 39183-3438 — (601) 200-4560

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 36082 (LA)
Neurology Physician Taxonomy 2084N0400X · Licence A194002 (CA)

Record details

NPI number1891318127
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2020
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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