Al-Botros PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21751 Issued in OK

Legal business name

AL-BOTROS PLLC

Practice address

1111 N Lee Ave Ste 105
Oklahoma City, OK 73103-2620

Phone

(405) 600-6730

Fax

(405) 600-6750

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Adonis Simon Al-Botros, M.D.NPI 1316994551

Title

Physician

Phone

(405) 600-6730

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adonis S Al-Botros, MD

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1316994551

  OK, Psychiatry

  Medicare reassignment Care Compare group NPD Authorized official
• Francoise L. Kaane, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1396566618

  OK, Psychiatry

  Medicare reassignment Care Compare group NPD
• Hashib D. Faruque, M.D.

  • Psychiatry Physician
  • Spencer, OK
  • NPI 1225006570

  OK, Psychiatry

  Medicare reassignment NPD
• Paula Jean Rother, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Norman, OK
  • NPI 1780184754

  OK

  Medicare reassignment NPD
• Mebin Babu Thomas, PA-C

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1598082737

  OK

  Medicare reassignment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1063573459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032620",
            "telephone_number": "405-600-6730",
            "fax_number": "405-600-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032620",
            "telephone_number": "405-600-6730",
            "fax_number": "405-600-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL-BOTROS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "AL-BOTROS",
        "authorized_official_first_name": "ADONIS",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-600-6730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "21751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100224280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aky MD LLC
• Mohannad Al Akeel, MD
• Qais Isam Abdul Rahman Al Jorf, MD
• Dhyia Al Qutshan, MD
• Asya I Al-Aleem
• Adonis S Al-Botros, MD
• Rawan Al-Gharabally
• Farah Al-Hjouj
• Taha Al-Juhaishi, M.D.
• Al-K Inc

• All providers in Oklahoma City, OK
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.