● Active Type 1 · Individual

Ifeatu Uchenna Oti, MD

Nephrology (Internal Medicine)·Tyler, TX· NPI 1003087388 · Enumerated 2008 · 18 years on NPI

Oti is 1 of 22 nephrology (internal medicine) providers in Tyler and 1 of 1,618 in Texas.

NPI age

18 years

Enumerated 2008-03-14

Primary specialty

Nephrology (Internal Medicine)

Plus 3 subspecialties

Licensed in

TX, OK, SD, OH

4 states

Status

Active

No deactivations on record

Last NPPES update

2023-05-04

Source: CMS NPPES provider record

Sole proprietor

May be part of a larger org

How this provider compares

Across 1618 active nephrology (internal medicine) providers in Texas.

NPI age

18 years

≈ at median (19 yr)

State licenses

4 states

Top 83% — 16% of peers are multi-state

Subspecialties

34% of peers hold subspecialties

NPI lifetime · 2008 → 2023

2008-03Enumerated in NPPES

2008 2023

Where they practice

Practice location

1133 Medical Dr

Tyler, TX 757012130

📞 9035955486fax 9035955128

Mailing address

1133 Medical Dr

Tyler, TX 757012130

📞 9035955486fax 9035955128

Specialties

Allopathic & Osteopathic Physicians › Internal Medicine

Internal Medicine Primary

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

TX license #N5305OK license #34742SD license #7363OH license #35.086016 taxonomy 207RN0300X

Identifiers

Type	Value	Notes
05 (OK)	200280780 A
05 (TX)	2108011-01

Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties

Nephrology

Plus 2 additional

Telehealth

Listed by CMS

Confirm current availability with the practice

Largest Medicare group

375 members

Largest listed enrollment group

Facility affiliations reported by CMS

Etmc Physician Group, Inc.
Tyler Nephrology Associates PA

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 32 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.