Individual provider Active NPI

Walter E Bottizer, MD

  • Diagnostic Radiology Physician
  • Mount Kisco, NY
National Provider Identifier
1477551851
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
114648 Issued in NY
Practice address
14 Capricorn LN
Mount Kisco, NY 10549-4224
Phone
(914) 606-0076
NPI assigned
Jul 11, 2005
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 114648 NY Primary

Addresses

Primary practice location

14 Capricorn LN
Mount Kisco, NY 10549-4224

Mailing address

14 Capricorn LN
Mount Kisco, NY 10549-4224
Phone (914) 606-0076

Other identifiers 1

IdentifierTypeStateIssuer
00598889MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090331000597 NY Practitioner - Diagnostic Radiology 5698832939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Dec 1, 2015 Accepting new patients
St. Luke's Cornwall Hospital Diagnostic Radiology Past Accepting new patients
White Plains Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Healthcare Radiology and Diagnostic Systems PLLC Diagnostic Radiology Past Accepting new patients
Phelps Imaging Services,P.C Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

410 E 189th St
Bronx, NY 10458
Phone (718) 220-2500

6740 3rd Ave
Brooklyn, NY 11220
Phone (718) 491-5822

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

Organizations & group practices 6

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1477551851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CAPRICORN LN",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105494224",
            "telephone_number": "914-606-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CAPRICORN LN",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105494224",
            "telephone_number": "914-606-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTIZER",
        "first_name": "WALTER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "114648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00598889",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.