Active NPI
David Botros, PA-C
- Physician Assistant
- Edina, MN
National Provider Identifier
1497360556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14353
- Practice address
- 7235 Ohms LN
Edina, MN 55439-2148 - Phone
- (952) 841-2345
- Fax
- (952) 841-2346
- NPI assigned
- Sep 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14353 | MN | Primary |
Addresses
Primary practice location
7235 Ohms LN
Edina, MN 55439-2148
Mailing address
7235 Ohms LN
Edina, MN 55439-2148
Phone (952) 841-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12000 Elm Creek Blvd N
Suite 300
Maple Grove, MN 55369-7075
Phone (952) 841-2345
584 Bavaria LN
Chaska, MN 55318-4597
Phone (952) 841-2345
7235 Ohms LN
Edina, MN 55439-2148
Phone (952) 841-2345
Hospital & facility affiliations
- Abbott Northwestern Hospital
- M Health Fairview Southdale Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.75 of 100
- Quality
- 42.73
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 66.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14353 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew J Will MD PA | Current | Accepting new patients | |
| Andrew J Will MD PA | Past | Accepting new patients |
Locations
12000 Elm Creek Blvd N
Ste 300
Maple Grove, MN 55369
7235 Ohms Ln
Minneapolis, MN 55439
Phone (952) 204-3502
Interoperability endpoints
- david.botros.p1@direct.tcpain.nextgenshare.com
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Edina, MN
- NPI 1215003066
-
- Physical Medicine & Rehabilitation Physician
- Maple Grove, MN
- NPI 1750797072
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1497360556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7235 OHMS LN",
"city": "EDINA",
"state": "MN",
"postal_code": "554392148",
"telephone_number": "952-841-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7235 OHMS LN",
"city": "EDINA",
"state": "MN",
"postal_code": "554392148",
"telephone_number": "952-841-2345",
"fax_number": "952-841-2346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTROS",
"first_name": "DAVID",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-14",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.