Mahesh Botejue
Individual provider Active NPI Internal Medicine Physician · Huntingdon, PA
NPI 1407484173 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1407484173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD482474 (PA)
- Practice address
- 790 Bryan St
Huntingdon, PA 16652-2410 - Phone
- (814) 643-8300
- Fax
- (814) 643-8299
- NPI assigned
- Mar 30, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 44
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
237 S Fraser St
Suite 442
State College, PA 16801-4827
Phone (858) 255-4162
Hospital & facility affiliations
- Mount Nittany Medical Center
- Penn Highlands Huntingdon
- Geisinger Medical Center
- Encompass Health Rehabilitation Hospital of Nittan
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220722000768 | CA | Practitioner - Internal Medicine | 7113308123 | |
| I20230915003595 | PA | Practitioner - Internal Medicine | 7113308123 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A178150 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current |
Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current |
Accepting new patients |
| Upmc Altoona | Current |
Accepting new patients | |
| Mahesh Botejue MD LLC | Current |
Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Upmc Altoona | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Apogee Medical Group of Pennsylvania PC | Internal Medicine | Current |
Accepting new patients |
| Encompass Health Rehabilitation Hospital of Nittany Valley, Inc. | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011
100 N Academy Ave
Danville, PA 17822
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
502 W 7th St
Ste 100
Erie, PA 16502
Phone (215) 258-4243
1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
550 W College Ave
Pleasant Gap, PA 16823
Phone (814) 359-3421
155 Wellness Way
State College, PA 16803
Phone (800) 367-0179
237 S Fraser St
Ste 442
State College, PA 16801
Phone (858) 255-4162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A178150 | CA | |
| Internal Medicine Physician | 207R00000X | MD482474 | PA | Yes |
Addresses
Primary practice location
790 Bryan St
Huntingdon, PA 16652-2410
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other practice location 1
4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3274
Other practice location 2
1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000
Other providers in Huntingdon, PA
- Beth A. Bollinger
- Rebecca E Bollinger
- Shawn Bookhammer
- Angela Grace Boonie
- Mary Elizabeth Border
- Charlene Marie Brantner
- Iris Burris Brenneman
- William L Bressler
- Broad Top Area Medical Center Inc
- Broad Top Area Medical Center Inc
All providers in Huntingdon, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.