Individual provider Active NPI

Daniela Anca Botoman, M.D.

  • Family Medicine Physician
  • Margate, FL
National Provider Identifier
1649313115
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
74471 Issued in FL
Practice address
5100 Coconut Creek Pkwy
Margate, FL 33063-3913
Phone
(954) 281-7700
Fax
(954) 715-7603
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 74471 FL Primary

Addresses

Primary practice location

5100 Coconut Creek Pkwy
Margate, FL 33063-3913

Mailing address

5100 Coconut Creek Pkwy
Margate, FL 33063-3913
Phone (954) 281-7700

Other identifiers 1

IdentifierTypeStateIssuer
018673000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000004 FL Practitioner - Family Practice 9830118744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chen Neighborhood Medical Centers of South Florida, LLCGroup PAC ID 2860623436, 37 clinicians

Practice addresses (Care Compare)

5100 Coconut Creek Pkwy
Margate, FL 33063-3913
Phone (954) 281-7700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74471FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

5100 Coconut Creek Pkwy
Margate, FL 33063
Phone (954) 281-7700

20801 NW 2nd Ave
Miami Gardens, FL 33169

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

6037 Kimberly Blvd
North Lauderdale, FL 33068
Phone (954) 379-8994

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1649313115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 COCONUT CREEK PKWY",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330633913",
            "telephone_number": "954-281-7700",
            "fax_number": "954-715-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 COCONUT CREEK PKWY",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330633913",
            "telephone_number": "954-281-7700",
            "fax_number": "954-715-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTOMAN",
        "first_name": "DANIELA",
        "middle_name": "ANCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "74471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018673000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.