Individual provider Active NPI

Gehan Botrus

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1275910911
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10054490 Issued in TX
Practice address
4800 Alberta Ave
El Paso, TX 79905-2709
Phone
(915) 215-8000
NPI assigned
May 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 92571 GA
Medical Oncology Physician 207RX0202X 0101280191 VA
Medical Oncology Physician 207RX0202X 68793 TN
Internal Medicine Physician 207R00000X BP10054490 TX Primary

Addresses

Primary practice location

4800 Alberta Ave
El Paso, TX 79905-2709

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 342-1800

Other practice location 2

2202 N John B Dennis Hwy Ste 100
Kingsport, TN 37660-5904
Phone (423) 578-8500

Other practice location 3

378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361
Phone (423) 282-0751

Other practice location 4

743 Island Rd
Bristol, VA 24201-7403
Phone (276) 469-4200

Other practice location 5

671 Highway 58 E
Norton, VA 24273-3007
Phone (276) 679-5874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, OK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180703000532 TX Practitioner - Internal Medicine 9537415625 Reassigns benefits to 5 organizations
I20220803001861 GA Practitioner - Internal MedicinePractitioner - Hematology/Oncology 9537415625 Reassigns benefits to 1 organization
I20260319002841 OK Practitioner - Hematology/Oncology 9537415625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100

2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 520-2826

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

  • Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
  • Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10054490TXMDInternal Medicine Physician
68793TNMDMedical Oncology Physician
0101280191VAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 21, 2019 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Sep 12, 2019 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jul 15, 2018 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 3, 2019 Accepting new patients
Cancer Centers of Southwest Oklahoma, LLC Hematology & Oncology CurrentSince Feb 24, 2026 Accepting new patients
Tift Regional Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Cancer Centers of Southwest Oklahoma, LLC Hematology & Oncology CurrentSince Feb 24, 2026 Accepting new patients
Tift Regional Health System Inc Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 21, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jan 3, 2019 Accepting new patients
Solstas Lab Partners Group LLC Past Accepting new patients
Wellmont Medical Associates, Inc. Internal Medicine PastSince Jul 1, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

2465 N Whisenant Dr
Ste 100
Duncan, OK 73533
Phone (580) 251-6600

104 NW 31st St
Lawton, OK 73505
Phone (580) 536-2121

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1275910911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 ALBERTA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052709",
            "telephone_number": "915-215-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5777 E Mayo Blvd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850544502",
            "country_code": "US",
            "telephone_number": "480-342-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2202 N John B Dennis Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376605904",
            "country_code": "US",
            "telephone_number": "423-578-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 Marketplace Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042361",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Island Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242017403",
            "country_code": "US",
            "telephone_number": "276-469-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 Highway 58 E",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242733007",
            "country_code": "US",
            "telephone_number": "276-679-5874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTRUS",
        "first_name": "GEHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "92571",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "VA",
            "license": "0101280191",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TN",
            "license": "68793",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10054490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.