Individual provider Active NPI

Juan Manuel Botto, M.D.

  • Pulmonary Disease Physician
  • Houston, TX
National Provider Identifier
1457333775
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K8021 Issued in TX
Practice address
1213 Hermann Dr
Suite 570
Houston, TX 77004-7018
Phone
(713) 524-3900
Fax
(713) 527-8356
NPI assigned
Nov 14, 2005
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K8021 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X K8021 TX
Pulmonary Disease Physician 207RP1001X K8021 TX Primary

Addresses

Primary practice location

1213 Hermann Dr
Suite 570
Houston, TX 77004-7018

Mailing address

1213 Hermann Dr
Suite 570
Houston, TX 77004-7018
Phone (713) 524-3900

Other identifiers 1

IdentifierTypeStateIssuer
173861901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041210000850 TX Practitioner - General PracticePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4284691296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5219 Holly St
Bellaire, TX 77401-4803
Phone (713) 412-2221

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Botto MD PA Pulmonary Disease CurrentSince May 4, 2021 Accepting new patients
Remix Medical, PLLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Premier Medical Doctors PLLC Internal Medicine PastSince Dec 1, 2020 Accepting new patients

Locations

9450 SW Gemini Dr
Beaverton, OR 97008
Phone (310) 974-8767

1724 Richmond Ave
Houston, TX 77098
Phone (713) 597-5131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACGEDD/Endpoint/ACGEDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBICCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJDCCD
  • Direct secure messaging: jbotto330591@directhoustonmethodist.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1457333775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "SUITE 570",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-524-3900",
            "fax_number": "713-527-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "SUITE 570",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-524-3900",
            "fax_number": "713-527-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTO",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8021",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "K8021",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K8021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173861901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.