Mauricio Botero-Velez, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD23464 Issued in ME

Practice address

16 Fahy St
Belfast, ME 04915

Phone

(207) 505-4304

NPI assigned

Jul 7, 2005

Last updated

Oct 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in ME

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

Specialty

Nephrology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dialysis Clinic Inc. - Belfast Dialysis facility, Belfast, ME, CCN 202511
• Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063
• Mainehealth Waldo Hospital Hospital, Belfast, ME, CCN 201312
• Lincolnhealth Hospital, Damariscotta, ME, CCN 201302

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACHACA
• Direct secure messaging: mboterovelez273940@direct.mmc.mainehealth.org

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.

• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Mainehealth

  dba MaineHealth Waldo Hospital

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932
  Medicare reassignment NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  dba MaineHealth Waldo Hospital

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1265912075
  NPD
• Martin Memorial Medical Center Inc

  dba Cleveland Clinic Martin North, South, Tradition Hospitals

  • Urgent Care Clinic/Center
  • Stuart, FL
  • NPI 1154962918
  NPD (past)
• Martin Memorial Physician Corporation Inc

  • Multi-Specialty Clinic/Center
  • Stuart, FL
  • NPI 1578505228

  Specialist

  NPD (past)
• Nephrology & Internal Medicine Associates

  • Specialist
  • Stuart, FL
  • NPI 1952308660
  NPD (past)
• Western Nephrology & Metabolic Bone Disease, P.C.

  • Nephrology Physician
  • Arvada, CO
  • NPI 1134734486
  NPD (past)

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

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Belfast, ME
  • NPI 1497788970

  Dialysis facility

  Care Compare affiliation Name & address match
• Mainehealth

  dba MaineHealth Waldo Hospital

  • Critical Access Hospital
  • Belfast, ME
  • NPI 1841397932
  Care Compare affiliation
• Mainehealth

  dba MaineHealth Lincoln Hospital

  • Critical Access Hospital
  • Damariscotta, ME
  • NPI 1912094806
  Care Compare affiliation
• Mainehealth

  dba MaineHealth Pen Bay Hospital

  • General Acute Care Hospital
  • Rockport, ME
  • NPI 1982645305
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1457358160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 SW 66TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731358",
            "telephone_number": "772-933-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FAHY ST",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "04915",
            "telephone_number": "207-505-4304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Hillcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349966742",
            "country_code": "US",
            "telephone_number": "772-240-1257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Hillcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349966742",
            "country_code": "US",
            "telephone_number": "772-240-1257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTERO-VELEZ",
        "first_name": "MAURICIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "77117",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ME",
            "license": "MD23464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264002300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Blake, PTA
• Morgan Block
• Shana Bloomstein, PTA
• Sunny Rae Bolduc, OT/L, CLT
• Benjamin Borkan, LCSW
• Denise M Bouchard, DNPC
• Diantha Sarah Bovey, LCSW
• Terry Rich Bowen
• Katherine Bowles, PT
• May E Brassbridge

• Nephrology Physician in Belfast, ME
• Providers in Belfast, ME by specialty
• Nephrology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.