Active NPI
Ion Botnaru, M.D.
- Cardiovascular Disease Physician
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME146402
- Practice address
- 4705 Alt 19 Ste B
Palm Harbor, FL 34683-1424 - Phone
- (727) 787-4875
- Fax
- (727) 786-9623
- NPI assigned
- Apr 11, 2008
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60633873 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | MD60633873 | WA | |
| Interventional Cardiology Physician | 207RI0011X | MD60633873 | WA | |
| Interventional Cardiology Physician | 207RI0011X | ME146402 | FL | |
| Nuclear Cardiology Physician | 207UN0901X | ME146402 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | ME146402 | FL | Primary |
Addresses
Primary practice location
4705 Alt 19 Ste B
Palm Harbor, FL 34683-1424
Mailing address
4705 Alt 19 Ste B
Palm Harbor, FL 34683-1424
Phone (727) 787-4875
Other practice location 1
406 Black Hills Ln SW
Olympia, WA 98502-8143
Phone (360) 754-1737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4705 Alt
19 Suite B
Palm Harbor, FL 34683-1424
Phone (727) 935-6477
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 16 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME146402 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Internal Medicine | Current | Accepting new patients |
| Quincy Physician Corporation | Internal Medicine | Past | Accepting new patients |
Locations
4705 Alt 19
Ste B
Palm Harbor, FL 34683
Phone (727) 787-4875
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
4111 Little Rd
Trinity, FL 34655
Phone (727) 938-1908
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ibotnaru73871@adventhealth.direct-ci.com
Organizations & group practices 2
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Internal Medicine
-
- Critical Care Medicine (Anesthesiology) Physician
- Quincy, MA
- NPI 1144426503
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth North Pinellas
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1174796080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 ALT 19 STE B",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831424",
"telephone_number": "727-787-4875",
"fax_number": "727-786-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 ALT 19 STE B",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831424",
"telephone_number": "727-787-4875",
"fax_number": "727-786-9623"
}
],
"practiceLocations": [
{
"address_1": "406 Black Hills Ln SW",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985028143",
"country_code": "US",
"telephone_number": "360-754-1737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOTNARU",
"first_name": "ION",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60633873",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD60633873",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WA",
"license": "MD60633873",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME146402",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "FL",
"license": "ME146402",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME146402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.