NPIMap

Individual provider Active NPI

Emad M Botros, MD

  • Internal Medicine Physician
  • Winchester, VA
National Provider Identifier
1528063070
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
101232257 Issued in VA
Practice address
104 Selma Dr
Winchester, VA 22601-3834
Phone
(540) 678-2800
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 101232257 VA Primary

Addresses

Primary practice location

104 Selma Dr
Winchester, VA 22601-3834

Mailing address

104 Selma Dr
Winchester, VA 22601-3834
Phone (540) 678-2800

Other identifiers 8

IdentifierTypeStateIssuer
2119569OtherVAMAMSI
466395OtherVAANTHEM BCBS
010019532MedicaidVA
1810068000MedicaidWV
617226OtherVANCPPO
226151OtherVASOUTHERN HEALTH
403138500MedicaidMD
72594OtherVACOMMUNITYHEALTH SENTARA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ebotros124015@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211001120 VA Practitioner - Internal Medicine 4880588623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Selma Medical Assoc Inc 30 clinicians
Winchester Medical Center 313 clinicians

Practice addresses (Care Compare)

104 Selma Dr
Winchester, VA 22601-3834
Phone (540) 678-2800

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

Hospital & facility affiliations

  • Valley Health Home Health Home health agency, Winchester, VA, CCN 497058
  • Five Star Home Health Care Home health agency, Chantilly, VA, CCN 497678
  • Aveanna Home Health Home health agency, Winchester, VA, CCN 497668
  • Virginia Healthcare Services of the Valley LLC Home health agency, Winchester, VA, CCN 497739
  • Valley Health Home Health/West Virginia Home health agency, Romney, WV, CCN 517075
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305
  • Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Hampshire Memorial Hospital Hospital, Romney, WV, CCN 511311
  • The Village at Orchard Ridge Nursing home, Winchester, VA, CCN 495415

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101232257VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Apr 19, 2018 Accepting new patients
Selma Medical Assoc Inc Internal Medicine CurrentSince Oct 13, 2003 Accepting new patients
Winchester Medical Center CurrentSince Apr 19, 2018 Accepting new patients
Winchester Medical Center Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hospitalist Medicine Physicians of Front Royal, LLC Internal Medicine Past Accepting new patients

Locations

104 Selma Dr
Winchester, VA 22601
Phone (540) 542-6106

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Interoperability endpoints

  • Direct secure messaging: ebotros124015@soc.inova.org
  • Direct secure messaging: emad.botros@direct.selma.nextgenshare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1528063070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SELMA DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013834",
            "telephone_number": "540-678-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SELMA DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013834",
            "telephone_number": "540-678-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTROS",
        "first_name": "EMAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "101232257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2119569",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "466395",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010019532",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810068000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "617226",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "226151",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403138500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITYHEALTH SENTARA",
            "identifier": "72594",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebotros124015@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.