Active NPI
Peter Kenneth Bott, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 054356
- Practice address
- 2411 Fountain View Dr Ste 200
Houston, TX 77057-4832 - Phone
- (713) 620-4000
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP 2853722 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 054356 | TX | Primary |
Addresses
Primary practice location
2411 Fountain View Dr Ste 200
Houston, TX 77057-4832
Mailing address
2411 Fountain View Dr Ste 200
Houston, TX 77057-4832
Phone (713) 620-4000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G3301 | Other | FL | BLUE CROSS |
| P00394595 | Other | TX | MEDICARE RAILROAD |
| 185859901 | Medicaid | TX | |
| 88598U | Other | TX | BLUE CROSS BLUE SHIELD |
| 185859902 | Medicaid | TX | |
| P00671245 | Other | TX | MEDICARE RAILROAD |
| 305301600 | Medicaid | FL | |
| 87063U | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (713) 496-7555
17201 I 45
The Woodlands, TX 77385-3311
Phone (281) 737-2602
9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 620-4000
Hospital & facility affiliations
- Houston Methodist the Woodlands Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2853722 | FL | MD | Certified Registered Nurse Anesthetist |
| 054356 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Consultants of St Petersburg PA | Past | Accepting new patients | |
| North Cypress Anesthesiology Associates | Past | Accepting new patients |
Locations
21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
2411 Fountain View Dr
Ste 200
Houston, TX 77057
Phone (713) 458-4185
1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Houston, TX
- NPI 1184810111
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1982631800
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1336108653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574832",
"telephone_number": "713-620-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574832",
"telephone_number": "713-620-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTT",
"first_name": "PETER",
"middle_name": "KENNETH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP 2853722",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "054356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G3301",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00394595",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185859901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88598U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185859902",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00671245",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305301600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "87063U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.