Nikolaos Botsoglou, M.D.

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

License

1820411 Issued in NY

Practice address

2475 Harlem Rd
Cheektowaga, NY 14225-4551

Phone

(716) 896-5922

Fax

(716) 896-9272

NPI assigned

Dec 28, 2005

Last updated

May 29, 2020By the provider in NPPES

Sex

Male

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 NY

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

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kostas N Botsoglou, M.D.

  • Rheumatology Physician
  • Cheektowaga, NY
  • NPI 1295981652
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nikolaos K Botsoglou MD PLLC

  • Hematology (Internal Medicine) Physician
  • Cheektowaga, NY
  • NPI 1700402286
  Authorized official Same address or phone
• Nikolaos K Botsoglou MD

  • Internal Medicine Physician
  • Cheektowaga, NY
  • NPI 1760866156
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1225015621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 HARLEM RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254551",
            "telephone_number": "716-896-5922",
            "fax_number": "716-896-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 HARLEM RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254551",
            "telephone_number": "716-896-5922",
            "fax_number": "716-896-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTSOGLOU",
        "first_name": "NIKOLAOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NY",
            "license": "1820411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Lynn Bordonaro, MA, CCC/SLP
• Amy L Borynski, D.C.
• Cortney Bota
• Denise Dibernardo Bothwell, MS,RD,CDN
• Kostas N Botsoglou, M.D.
• Samantha Carol Boyce, PHARMD
• Jaclyn M. Brachmann, LMT
• Deborah Bradley, RN
• Susan Brandel Lew
• Kristin E. Brandel, LCSW-R

• Hematology (Internal Medicine) Physician in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Hematology (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.