Dr Leo Ryo Otake, MD, PHD, - Medicare Plastic And Reconstructive Surgery in Darien, CT

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Dr Leo Ryo Otake, MD, PHD, is a medicare enrolled "Plastic Surgery" physician in Darien, Connecticut. He went to Yale University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Darien Plastic Surgery Associates Pllc and his current practice location is 722 Post Rd, Darien, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 656-9999.

Dr Leo Ryo Otake is licensed to practice in Connecticut (license number 046053) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770761025.

Contact Information

Dr Leo Ryo Otake, MD, PHD,
722 Post Rd,
Darien, CT 06820
(203) 656-9999
Not Available

Map and Direction




Physician's Profile

Full NameDr Leo Ryo Otake
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience22 Years
Location722 Post Rd, Darien, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Leo Ryo Otake attended and graduated from Yale University School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1770761025
  • Provider Enumeration Date: 02/07/2008
  • Last Update Date: 05/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1850448358
  • Enrollment ID: I20090421000426

Medical Identifiers

Medical identifiers for Dr Leo Ryo Otake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770761025NPI-NPPES
D400026606OtherCTINDIVIDUAL MEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 246657 (New York)Secondary
208200000XPlastic Surgery 046053 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Stamford HospitalStamford, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Darien Plastic Surgery Associates Pllc57991970422

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Leo Ryo Otake allows following entities to bill medicare on his behalf.
Entity NameTrinity Health Of New England Provider Network Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003882812
PECOS PAC ID: 0941113567
Enrollment ID: O20031110000651
Entity NameGreenwich Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609846088
PECOS PAC ID: 3678476710
Enrollment ID: O20040128000288
Entity NameProspect Ct Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144677568
PECOS PAC ID: 7416244496
Enrollment ID: O20160919001322
Entity NameDarien Plastic Surgery Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790276814
PECOS PAC ID: 5799197042
Enrollment ID: O20201210002164

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leo Ryo Otake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Leo Ryo Otake, MD, PHD,
722 Post Rd,
Darien, CT 06820-4744

Ph: (203) 656-9999		Dr Leo Ryo Otake, MD, PHD,
722 Post Rd,
Darien, CT 06820

Ph: (203) 656-9999

Reviews and Comments


Plastic Surgery Doctors in Darien, CT

Dr. Yuen-jong Liu, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 722 Post Rd Ste 200, Darien, CT 06820
Phone: 203-656-9999    Fax: 203-655-0099
Dr. Fredric Newman, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 722 Post Rd, Darien, CT 06820
Phone: 203-656-9999    Fax: 718-672-4251
Dr. David Passaretti, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 722 Post Rd, Darien, CT 06820
Phone: 203-656-9999    Fax: 718-672-4251
Anya Kishinevsky, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 722 Post Rd, Suite 200, Darien, CT 06820
Phone: 203-656-9999    Fax: 203-655-0099

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.