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

Tara Marie Otto, MD

Individual provider Diagnostic Radiology Physician · NPI 1356509038

Tara Marie Otto, MD is a Diagnostic Radiology in Fort Walton Beach, Florida. Graduated from University of South Alabama College of Medicine in 2007, 19 years ago. Practices with Radiology Associates of Southwest Louisiana, a 99-clinician group. Licensed in Florida, Illinois and Missouri.

Years since qualifying
19
Trained at
University of South Alabama College of Medicine
Licensed in
FL, IL, MO
In the registry since
2008
Specialties on file
3
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

220 Fliva Ave NW
Fort Walton Beach, FL 32548
Phone: (952) 595-1100
Fax: (612) 294-4903
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME113202 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2021040905 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036133782 (IL)

Record details

NPI number1356509038
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2008
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Radiology Associates Of Southwest Louisiana — 99 clinicians
Accepts Medicare assignment Not indicated
Practice locations19 on file with Medicare

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