Active NPI
Richard Botelho, MD
- Family Medicine Physician
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2013-01565
- Practice address
- 708 McBrayer Homestead Rd
Shelby, NC 28152-9532 - Phone
- (980) 487-2090
- NPI assigned
- Jun 17, 2006
- Last updated
- Apr 20, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013-01565 | NC | Primary |
Addresses
Primary practice location
708 McBrayer Homestead Rd
Shelby, NC 28152-9532
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
3030 Randolph Rd
Ste 200
Charlotte, NC 28211-1368
Phone (704) 512-5000
Other practice location 2
201 Dale Earnhardt Blvd
Ste 200
Kannapolis, NC 28081-0308
Phone (704) 932-1155
Other practice location 3
3030 Randolph Rd
Ste 200
Charlotte, NC 28211-1368
Phone (704) 302-8200
Other practice location 4
16455 Statesville Rd
Ste 200
Huntersville, NC 28078-7135
Phone (704) 302-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-01565 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
3030 Randolph Rd
Ste 200
Charlotte, NC 28211
Phone (704) 302-8200
4525 Cameron Valley Pkwy
Ste 3100
Charlotte, NC 28211
Phone (704) 302-8375
8840 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 667-2340
9908 Couloak Dr
Ste 202
Charlotte, NC 28216
Phone (704) 801-3050
1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
707 Memorial Blvd
Concord, NC 28025
Phone (704) 403-7050
16455 Statesville Rd
Ste 200
Huntersville, NC 28078
Phone (704) 302-8600
201 Dale Earnhardt Blvd
Ste 200
Kannapolis, NC 28081
Phone (704) 403-7300
3970 W Highway 27
Lincolnton, NC 28092
Phone (704) 748-2245
1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700
215 S Main St
Mt Holly, NC 28120
Phone (704) 393-4808
708 McBrayer Homestead Rd
Shelby, NC 28152
Phone (704) 434-8123
4429 W Highway 27
Vale, NC 28168
Phone (704) 748-2245
Organizations & group practices 8
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.
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
dba Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Primary Care Troy Family Medicine
- Family Medicine Physician
- Troy, NC
- NPI 1548664303
-
dba West Lincoln Family Medicine
- Family Medicine Physician
- Lincolnton, NC
- NPI 1679732176
-
dba Atrium Health Behavioral Health Psychiatry & Counseling
- Child & Adolescent Psychiatry Physician
- Harrisburg, NC
- NPI 1043646961
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1508801374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 MCBRAYER HOMESTEAD RD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281529532",
"telephone_number": "980-487-2090"
}
],
"practiceLocations": [
{
"address_1": "3030 Randolph Rd",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282111368",
"country_code": "US",
"telephone_number": "704-512-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Dale Earnhardt Blvd",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Kannapolis",
"state": "NC",
"postal_code": "280810308",
"country_code": "US",
"telephone_number": "704-932-1155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3030 Randolph Rd",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282111368",
"country_code": "US",
"telephone_number": "704-302-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16455 Statesville Rd",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280787135",
"country_code": "US",
"telephone_number": "704-302-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOTELHO",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2013-01565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.