Active NPI
John J Botti, MD
- Maternal & Fetal Medicine Physician
- Wilmington, NC
National Provider Identifier
1003870189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- NC2011-01476
- Practice address
- 2212 Delaney Ave
Wilmington, NC 28403-6011 - Phone
- (910) 332-3660
- Fax
- (910) 332-3668
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | NC2011-01476 | NC | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | 01073484A | IN |
Addresses
Primary practice location
2212 Delaney Ave
Wilmington, NC 28403-6011
Mailing address
8508 Hammock Dunes Dr
Wilmington, NC 28411-7683
Phone (717) 991-2510
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003870189 | Other | NC | BCBS |
| 1003870189 | Other | NC | TRICARE |
| 1003870189 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC2011-01476 | NC | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S. Hershey Medical Center Physicians Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gynecologic Oncology Physician
- Hershey, PA
- NPI 1285609677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1003870189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8508 HAMMOCK DUNES DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284117683",
"telephone_number": "717-991-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036011",
"telephone_number": "910-332-3660",
"fax_number": "910-332-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTI",
"first_name": "JOHN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NC",
"license": "NC2011-01476",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "IN",
"license": "01073484A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1003870189",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1003870189",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003870189",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.