Melvin L Bottner, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11143 Issued in AZ

Practice address

16100 N 71St St
Suite 100
Scottsdale, AZ 85254-2209

Phone

(480) 656-0016

Fax

(480) 634-1723

NPI assigned

Aug 25, 2005

Reactivated

Dec 1, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Comprehensive Interventional Care Centers, PLLC

  • Vascular & Interventional Radiology Physician
  • Gilbert, AZ
  • NPI 1568803047
  Medicare reassignment NPD
• Comprehensive Interventional Care Centers, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Tempe, AZ
  • NPI 1902644594
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1053304972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 N 71ST ST",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542225",
            "telephone_number": "480-656-0016",
            "fax_number": "480-634-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 N 71ST ST",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542209",
            "telephone_number": "480-656-0016",
            "fax_number": "480-634-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTNER",
        "first_name": "MELVIN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-02-23",
        "deactivation_date": "2005-11-17",
        "reactivation_date": "2005-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "11143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257073-02",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Boston, PT
• Nicole Bostwick
• Michael George Boswein, LPC
• Olivia Both
• Emily Bott, MSW
• Lisa Boucek, M.D.
• Philippe Bouchard, M.D.
• Orland Kenton Boucher, PA
• Nicole Boulanger, M.S. CFY-SLP
• Donna Marie Bouley, FNP-C

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.