BETTY KALIANDA OETAMA M.D.
NPI 1720049356
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX
NPI Status: Active since March 31, 2006
Contact Information
2525 WEST BELLFORT STREET
STE 120
HOUSTON, TX
ZIP 77054
Phone: (713) 741-6677
Fax: (713) 748-5860
- Individual
- Female
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Insurance
- PECOS Enrolled
About BETTY OETAMA
This page provides the complete NPI Profile along with additional information for Betty Oetama, a provider established in Houston, Texas with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1720049356 assigned on March 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number L6132 (TX). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1720049356
- Provider Name
- BETTY KALIANDA OETAMA M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2525 WEST BELLFORT STREET STE 120 HOUSTON, TX 77054
- Location Phone
- (713) 741-6677
- Location Fax
- (713) 748-5860
- Mailing Address
- PO BOX 421849 HOUSTON, TX 77242
- Mailing Phone
- (713) 559-6929
- Mailing Fax
- (713) 748-5860
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-31-2006
- Last Update Date
- 03-30-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- L6132
- License State
- TX
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | 00025871 (AL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 176504201 | MEDICAID (05) | TX | |
| 176504202 | MEDICAID (05) | TX |
Medicare Participation & PECOS Enrollment Status
Betty Oetama is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 77054 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.06
- Minimum New Patient Price $58.24
- Maximum New Patient Price $176.98
- Average New Patient Copayment $33.51
- Minimum New Patient Copayment $14.56
- Maximum New Patient Copayment $44.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.71
- Minimum Established Patient Price $18.6
- Maximum Established Patient Price $143.93
- Average Established Patient Copayment $25.67
- Minimum Established Patient Copayment $4.65
- Maximum Established Patient Copayment $35.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 0 | 4 | 9 | 3 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 0 | 4 | 18 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 0 + 4 + 1 + 8 + 3 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1720049356 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467459768 | EDWARD O UTHMAN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2525 WEST BELLFORT STREET STE 120 HOUSTON, TX 77054 (713) 741-6677 |
| 1265439665 | GARY L. HOLLINGSWORTH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2525 WEST BELLFORT STREET STE 120 HOUSTON, TX 77054 (713) 741-6677 |
| 1245238708 | STEVEN J. O'CONNOR M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2525 WEST BELLFORT STREET STE 120 HOUSTON, TX 77054 (713) 741-6677 |
| 1568460475 | YAN GU M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2525 WEST BELLFORT STREET STE 120 HOUSTON, TX 77054 (713) 741-6677 |
| 1851371512 | DR. ROBYN A. BEACH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2525 WEST BELLFORT STREET STE 120 HOUSTON, TX 77054 (713) 741-6677 |
| 1619172293 | DR. KYLE LOUIS ESKUE M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2525 WEST BELLFORT STREET STE 120 HOUSTON, TX 77054 (713) 741-6677 |
| 1124295092 | DR. MARY ELAINE KLING M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2525 WEST BELLFORT STREET STE 120 HOUSTON, TX 77054 (713) 741-6677 |
| 1770729758 | DR. SARAH KOTT GALFIONE M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2525 WEST BELLFORT STREET STE 120 HOUSTON, TX 77054 (713) 741-6677 |
| 1376733675 | DR. AMY ANN ZINGALIS M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2525 WEST BELLFORT STREET STE 120 HOUSTON, TX 77054 (713) 741-6677 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720049356, enumerated in the NPI registry as an "individual" on March 31, 2006
The provider is located at 2525 West Bellfort Street Ste 120 Houston, Tx 77054 and the phone number is (713) 741-6677
The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $134.06 with an average copayment of $33.51 for new patient appointments. Established patients should expect a typical charge of $102.71 and an average copayment of 25.67. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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