Alfredo Botero, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

011039 Issued in LA

Practice address

3712 Macarthur Blvd
Suite 101
New Orleans, LA 70114

Phone

(504) 366-1566

Fax

(504) 366-1575

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Ophthalmology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Botero Eye Clinic

  • Ophthalmology Physician
  • New Orleans, LA
  • NPI 1306917638
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659456929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 MACARTHUR BLVD",
            "address_2": "SUITE 101",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70114",
            "telephone_number": "504-366-1566",
            "fax_number": "504-366-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 MACARTHUR BLVD",
            "address_2": "SUITE 101",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70114",
            "telephone_number": "504-366-1566",
            "fax_number": "504-366-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTERO",
        "first_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "011039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106291",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey M Boswell
• Erin Boswell
• Roger Keith Botello, MMT, MT-BC
• Trisha Botello, LPC
• Botero Eye Clinic
• Carla Botero
• Soffy D Botero, MD
• Jamie Bothello, FNP
• Carla Bou Dargham, MD
• Katerina Boucek, M.D.

• Ophthalmology Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.