Rao S Botta, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

4301070273 Issued in MI

Practice address

5155 Norko Dr
Flint, MI 48507-3021

Phone

(810) 720-6700

Fax

(810) 230-7764

NPI assigned

Apr 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Allergy/Immunology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suresh Anne MD PCGroup PAC ID 5395801708, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hurley Medical Center Hospital, Flint, MI, CCN 230132
• McLaren Flint Hospital, Flint, MI, CCN 230141
• Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbotta1118279@direct.hfhs.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.

• Suresh Anne MD PC

  • Allergy & Immunology Physician
  • Flint, MI
  • NPI 1801824768
  Medicare reassignment Care Compare group NPD

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

• Hurley Medical Center

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1598717480
  Care Compare affiliation
• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation
• Memorial Hospital

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1275595381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 NORKO DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073021",
            "telephone_number": "810-720-6700",
            "fax_number": "810-230-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 NORKO DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073021",
            "telephone_number": "810-720-6700",
            "fax_number": "810-230-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTA",
        "first_name": "RAO",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301070273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4492011",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Evelyn Borton, MA LLP
• Susan Rene Borton, N.P.
• Brionna Boseman
• Steven Allen Boskovich, MD
• Katelyn Bosley
• Robert Lee Bottinelli, PH.D.
• Haley Lynn Bottrell, PA-C
• Shireesha Bottu, MD
• Katherine E. Boucha, LMSW
• Cassandra Bouchard, LMSW

• Allergy & Immunology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.