Diego D Botero, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

213823 Issued in MA

Practice address

300 Longwood Ave
Boston, MA 02115-5724

Phone

(617) 355-2180

Fax

(617) 730-0134

NPI assigned

Oct 26, 2006

Last updated

Feb 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Boston Childrens Heart Foundation Inc

  • Pediatric Cardiology Physician
  • Boston, MA
  • NPI 1982680922

  Pediatrics

  NPD (past)
• Children's Hospital Pediatric Associates, Inc

  • Pediatrics Physician
  • Boston, MA
  • NPI 1457306664
  NPD (past)
• Variety Children's Hospital

  dba MCH Specialists

  • Pediatric Hematology & Oncology Physician
  • Coral Springs, FL
  • NPI 1255575635

  Pediatric Endocrinology

  NPD (past)
• Variety Children's Hospital

  dba MCH Specialists

  • Pediatric Gastroenterology Physician
  • Miami, FL
  • NPI 1275775702

  Pediatric Endocrinology

  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1407931249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 SHAWMUT AVE",
            "address_2": "UNIT #1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183836",
            "telephone_number": "617-267-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-2180",
            "fax_number": "617-730-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTERO",
        "first_name": "DIEGO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "213823",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MA",
            "license": "213823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177580",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A. Bostrom, M.D.
• Joy Ilsa Bostrom, PT, DPT
• Stephen Louis Boswell, M.D.
• Julie Elizabeth Carlisle Bosworth, MSPT
• Lisa M Botelho
• Michelle Bothmann, LICSW
• Palak Bothra
• Mia Yu Bothwell, MD, PHD
• Victoria Bothwick, MD
• Brittney A Botica, DPT

• Pediatric Endocrinology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Pediatric Endocrinology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.