Active NPI
Diana Maria Ronderos Botero, MD
- Pulmonary Disease Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 161567
- Practice address
- 3450 11TH CT Ste 306
Vero Beach, FL 32960-5012 - Phone
- (772) 794-5800
- NPI assigned
- Mar 23, 2018
- Last updated
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 161567 | FL | Primary |
Addresses
Primary practice location
3450 11TH CT Ste 306
Vero Beach, FL 32960-5012
Mailing address
5700 Bent Pine SQ
Vero Beach, FL 32967-7526
Phone (201) 657-2731
Other names 1
- Mrs. Diana Maria Ronderos Botero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3450 11TH CT
Vero Beach, FL 32960-5012
Phone (772) 794-5800
Hospital & facility affiliations
- Cleveland Clinic Indian River Hospital
- Cleveland Clinic Martin North Hospital
- Orlando Health Sebastian River Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161567 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Past | Accepting new patients |
Locations
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
3450 11th Ct
Ste 306
Vero Beach, FL 32960
Phone (772) 567-6140
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
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 Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
dba Cleveland Clinic IRH Anesthesia
- Anesthesiology Physician
- Vero Beach, FL
- NPI 1609424415
-
- Internal Medicine Physician
- Vero Beach, FL
- NPI 1124074455
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
dba Orlando Health Sebastian River Hospital
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1568966562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 BENT PINE SQ",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329677526",
"telephone_number": "201-657-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 11TH CT STE 306",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605012",
"telephone_number": "772-794-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONDEROS BOTERO",
"first_name": "DIANA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "161567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "RONDEROS BOTERO",
"middle_name": "MARIA",
"prefix": "MRS.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.