Individual provider Active NPI

Daniela Botolin, M.D.

  • Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1427373307
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0056249 Issued in CO
Practice address
6071 E Woodmen Rd Ste 340
Colorado Springs, CO 80923-2612
Phone
(719) 591-8100
Fax
(719) 591-8101
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DR.0056249 CO Primary

Addresses

Primary practice location

6071 E Woodmen Rd Ste 340
Colorado Springs, CO 80923-2612

Mailing address

6071 E Woodmen Rd Ste 340
Colorado Springs, CO 80923-2612
Phone (719) 591-8100

Other identifiers 1

IdentifierTypeStateIssuer
17175054MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822000430 CO Practitioner - General Surgery 9537454103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Springs Surgical Associates, PCGroup PAC ID 7315915402, 5 clinicians

Practice addresses (Care Compare)

6071 E Woodmen Rd
Suite 340
Colorado Springs, CO 80923-2612
Phone (719) 591-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair (minimally invasive)13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Springs Surgical Associates, PC Surgery CurrentSince Aug 1, 2016 Accepting new patients

Locations

6071 E Woodmen Rd
Ste 340
Colorado Springs, CO 80923
Phone (719) 591-8100

Organizations & group practices 1

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 3

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1427373307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD STE 340",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232612",
            "telephone_number": "719-591-8100",
            "fax_number": "719-591-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD STE 340",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232612",
            "telephone_number": "719-591-8100",
            "fax_number": "719-591-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTOLIN",
        "first_name": "DANIELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0056249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17175054",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.