Martine Elyse Bottalico

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184

Phone

(301) 530-1010

NPI assigned

Jul 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Services of Holy CrossGroup PAC ID 3779516992, 159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbottalilo297911@direct.hopkinsmedicine.org
• Direct secure messaging: mbottalico1886066@direct.trinity-health.org

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.

• Professional Services of Holy Cross

  • Health Service Clinic/Center
  • Silver Spring, MD
  • NPI 1487692828

  DC, Physician Assistant

  Medicare reassignment Care Compare group NPD (past)
• Bethesda Chevy Chase Orthopaedic Associates, LLC

  • Orthopaedic Surgery Physician
  • Bethesda, MD
  • NPI 1477583599

  DC

  Medicare reassignment NPD
• Bethesda Chevy Chase Orthopaedic Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bethesda, MD
  • NPI 1851759898
  NPD
• Professional Services of Holy Cross

  • Health Service Clinic/Center
  • Rockville, MD
  • NPI 1619787454
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Cross Health, Inc

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1669417838
  Care Compare affiliation
• Holy Cross Health, Inc.

  • Clinical Medical Laboratory
  • Silver Spring, MD
  • NPI 1831574284

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1144847369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "240-423-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "301-530-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Monticello Ave",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245015616",
            "country_code": "US",
            "telephone_number": "240-423-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTALICO",
        "first_name": "MARTINE",
        "middle_name": "ELYSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arina Yevgenevna Borodkina, LGMFT
• Leslie Mary Borsett-Kanter, MD
• Darren Bost Jr., MD
• Joshua M Boster, MD
• Yevgeny Botanov, PHD
• Tara Bouchard, PT
• Danielle Duchatellier Boucree, LMSW
• Ariel M Bouldin
• Maximilian Henrique Richard Bourgogne Von Hohenstaufen, DDS
• Jared Bourke, MD

• Physician Assistant in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.
• 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.