NPIMap

Individual provider Active NPI

Kostas N Botsoglou, M.D.

  • Rheumatology Physician
  • Cheektowaga, NY
National Provider Identifier
1295981652
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
262576 Issued in NY
Practice address
2475 Harlem Rd
Cheektowaga, NY 14225-4558
Phone
(877) 991-1889
NPI assigned
Aug 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 262576 NY
Rheumatology Physician 207RR0500X 262576 NY Primary

Addresses

Primary practice location

2475 Harlem Rd
Cheektowaga, NY 14225-4558

Mailing address

2475 Harlem Rd
Cheektowaga, NY 14225-4558

Other names 1

  • Kosta Botsoglou Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111214000103 NY Practitioner - Internal MedicinePractitioner - Rheumatology 8628243011 Reassigns benefits to 1 organization
Practice locations: Cheektowaga, NY
I20240129003459 NY Practitioner - Rheumatology 8628243011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kostas N Botsoglou MD LLCGroup PAC ID 8426400458, 3 clinicians

Practice addresses (Care Compare)

2475 Harlem Rd
Cheektowaga, NY 14225-4558
Phone (716) 322-5428

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262576NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kostas N Botsoglou MD LLC Rheumatology CurrentSince Dec 4, 2023 Accepting new patients
Buffalo Rheumatology and Medicine PLLC Past Accepting new patients
Buffalo Rheumatology and Medicine PLLC Past Accepting new patients

Locations

2475 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 322-5428

Interoperability endpoints

  • Direct secure messaging: drbotsoglou@rheumatologycenterwny.medentdirect.com

Organizations & group practices 4

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 8

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": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1295981652",
    "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": "142254558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 HARLEM RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254558",
            "telephone_number": "877-991-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTSOGLOU",
        "first_name": "KOSTAS",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262576",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "262576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOSTA",
            "last_name": "BOTSOGLOU",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.