Active NPI
Carlos Santiago Botero Suarez, MD
- Endocrinology, Diabetes & Metabolism Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 91795
- Practice address
- 2 Medical Park Rd Ste 506
Columbia, SC 29203-6876 - Phone
- (803) 434-3930
- NPI assigned
- Mar 18, 2019
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 91795 | SC | Primary |
Addresses
Primary practice location
2 Medical Park Rd Ste 506
Columbia, SC 29203-6876
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697
Other practice location 1
6850 Lake Nona Blvd
Orlando, FL 32827-7408
Phone (407) 266-1106
Other practice location 2
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (180) 343-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230213001986 | FL | Practitioner - Hospitalist | 4183096597 | Reassigns benefits to 1 organization |
| I20240731002947 | SC | Practitioner - Endocrinology | 4183096597 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health Medical Group-Midlands
Practice addresses (Care Compare)
2 Medical Park Rd
Suite 506
Columbia, SC 29203-6876
Phone (803) 540-1000
Hospital & facility affiliations
- Prisma Health Richland Hospital
- Prisma Health Baptist
- Prisma Health Baptist Parkridge
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.55 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91795 | SC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168
1120 Roberts Branch Pkwy
Ste 300
Columbia, SC 29203
Phone (803) 567-7508
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
5336 Sunset Blvd
Ste A
Lexington, SC 29072
Phone (803) 567-8900
Interoperability endpoints
- cboterosuarez798081@direct.ghs.myhfn.org
- carlos.boterosuarez@hca4.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1568959872
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1720547896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-695-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PARK RD STE 506",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036876",
"telephone_number": "803-434-3930"
}
],
"practiceLocations": [
{
"address_1": "6850 Lake Nona Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328277408",
"country_code": "US",
"telephone_number": "407-266-1106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 Richland Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036863",
"country_code": "US",
"telephone_number": "180-343-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOTERO SUAREZ",
"first_name": "CARLOS",
"middle_name": "SANTIAGO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "SC",
"license": "91795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.