NPIMap

Individual provider Active NPI

Mahesh Botejue

  • Internal Medicine Physician
  • Huntingdon, PA
National Provider Identifier
1407484173
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD482474 Issued in PA
Practice address
790 Bryan St
Huntingdon, PA 16652-2410
Phone
(814) 643-8300
Fax
(814) 643-8299
NPI assigned
Mar 30, 2020
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A178150 CA
Internal Medicine Physician 207R00000X MD482474 PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 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
I20220722000768 CA Practitioner - Internal Medicine 7113308123
I20230915003595 PA Practitioner - Internal Medicine 7113308123 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A178150CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Apr 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jun 17, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Upmc Altoona CurrentSince Apr 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jun 17, 2024 Accepting new patients
Apogee Medical Group, Pennsylvania, P.C. Internal Medicine CurrentSince Aug 15, 2023 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Aug 15, 2023 Accepting new patients
Mahesh Botejue MD LLC CurrentSince Mar 25, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Encompass Health Rehabilitation Hospital of Nittany Valley, 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

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

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1407484173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 BRYAN ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522410",
            "telephone_number": "814-643-8300",
            "fax_number": "814-643-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4445 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014135",
            "country_code": "US",
            "telephone_number": "951-788-3274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000",
            "fax_number": "814-231-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTEJUE",
        "first_name": "MAHESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A178150",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD482474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.