Individual provider Active NPI

Marcos Paulo Ferreira Botelho, MD

  • Pediatric Radiology Physician
  • Lexington, KY
National Provider Identifier
1205179587
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
FL079 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-1501
Phone
(859) 323-2222
Fax
(859) 323-5090
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 45464 TX
Diagnostic Radiology Physician 2085R0202X 125-063799 IL
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Radiology Physician 2085P0229X FL079 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-1501

Mailing address

800 Rose St # Hx314C
Lexington, KY 40536-7001
Phone (859) 323-2954

Other practice location 1

6431 Fannin St
MSB 2.132
Houston, TX 77030-1501
Phone (713) 500-7631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160706001197 TX Practitioner - Diagnostic Radiology 1658677547 Reassigns benefits to 3 organizations
I20241213000477 KY Practitioner - Diagnostic Radiology 1658677547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000

9239 Cold Hollow LN
Missouri City, TX 77459-6182
Phone (859) 323-2374

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FL079KYMDPediatric Radiology Physician
45464TXMDPediatric Radiology Physician
125-063799ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 1, 2016 Accepting new patients
Kentucky Medical Services Foundation, Inc Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
University of Kentucky Diagnostic Radiology CurrentSince Dec 2, 2024 Accepting new patients
Texas Children's Physician Group CurrentSince Dec 10, 2018 Accepting new patients
Ut Physicians Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients

Locations

800 Rose St
#314C
Lexington, KY 40536

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

6431 Fannin St
#2132
Houston, TX 77030
Phone (713) 500-7631

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1205179587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST # HX314C",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405361501",
            "telephone_number": "859-323-2222",
            "fax_number": "859-323-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St",
            "address_2": "MSB 2.132",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERREIRA BOTELHO",
        "first_name": "MARCOS",
        "middle_name": "PAULO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "45464",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125-063799",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "KY",
            "license": "FL079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.