Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770761025 Individual Practitioner Male Practitioner

Dr. Leo Ryo Otake , MD, PhD

Plastic Surgery • Darien, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Leo Otake, MD, PhD is a certified Plastic Surgery practicing in Darien, CT. With approximately 24 years of clinical experience since graduating from Yale University School Of Medicine in 2002, Dr. Otake delivers high-quality medical care to the local community at 722 POST RD.

Dr. Otake is affiliated with Prospect Ct Medical Foundation Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

722 Post Rd

Darien, CT 06820

Telephone 2036569999
Associated Practice Facility / Clinic
🏢 Anya Kishinevsky Md Llc Facility NPI 1023053709

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Darien, CT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +6.0 yrs vs City Avg
City Avg: 18.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Darien, CT (73 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Otake (24 Years) 24 Yrs
Darien Specialty Average (18.0 Years) 18.0 Yrs

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CT 046053

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License NY 246657

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Individual Medicare Ptan
D400026606 (CT)

Hospital & Practice Group Affiliations

Prospect Ct Medical Foundation Inc

18 Haynes St, Manchester, CT 060404111

Phone: 8606497557

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Yuen-Jong Liu , MD

Plastic Surgery

NPI 1134356959

Doctor of Medicine (M.D.)

NPI 1205989571

Doctor of Medicine (M.D.)

NPI 1477606655

Doctor of Medicine (M.D.)

NPI 1649220369

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 14, 2018

Registered at 722 POST RD, DARIEN, CT 06820 (Tel: 2036569999)

📍
Updated Business Mailing Address May 14, 2018

Registered at 722 POST RD, DARIEN, CT 068204744 (Tel: 2036569999)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2018

Plastic Surgery (License #046053 in CT)

NPI Profile Active March 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2016

Registered at 1000 ASYLUM AVE, SUITE 4301, HARTFORD, CT 061051770 (Tel: 8607149623)

📍
Updated Business Mailing Address March 03, 2016

Registered at 1000 ASYLUM AVE, SUITE 4301, HARTFORD, CT 061051770 (Tel: 8607149623)

👤
Provider Name / Credentials Updated March 03, 2016

Recorded as LEO OTAKE, M.D., PH.D,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2016

Plastic Surgery (License #046053 in CT)

🟢
Initial NPI Registration & Enumeration February 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770761025
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2008
Last Update: May 14, 2018
Sole Proprietor: No

Mailing Address

722 Post Rd

Darien, CT 068204744

Phone: 2036569999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.