Active NPI
Paul A Botros, MD
- Family Medicine Physician
- Lebanon, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD459527
- Practice address
- 30 N 4TH St
2ND Floor
Lebanon, PA 17046-5606 - Phone
- (717) 274-0474
- NPI assigned
- Mar 25, 2013
- Last updated
- May 12, 2026
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD459527 | PA | Primary |
Addresses
Primary practice location
30 N 4TH St
2ND Floor
Lebanon, PA 17046-5606
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 812-7000
Other practice location 2
55 N Main St
Jacobus, PA 17407-1248
Phone (717) 428-1911
Other practice location 3
25 Monument Rd Ste 140
York, PA 17403-5057
Phone (717) 741-8003
Other practice location 4
54 S Forrest St
York, PA 17404-5550
Phone (717) 792-1811
Other practice location 5
300 Willow St
Lebanon, PA 17046-4871
Phone (717) 356-2222
Other practice location 6
2003 Springwood Rd
York, PA 17403-4836
Phone (717) 851-2521
Other practice location 7
1575 Bannister St Ste 1
York, PA 17404-4946
Phone (717) 812-2000
Other practice location 8
720 Norman Dr
Lebanon, PA 17042-7481
Phone (717) 274-6657
Other practice location 9
101 Fairview Cir
Lebanon, PA 17042-9581
Phone (717) 279-7303
Other practice location 10
4020 Carlisle Rd
Dover, PA 17315-3508
Phone (717) 851-6400
Other practice location 11
430 N Main St
Spring Grove, PA 17362-1123
Phone (717) 851-6500
Other practice location 12
6 Perri Ave
Myerstown, PA 17067-3200
Phone (717) 949-6581
Other practice location 13
4050 N George St Ext
Dover, PA 17315-3508
Phone (717) 812-4240
Other practice location 14
130 Pine Grove Cmns
York, PA 17403-5151
Phone (717) 851-5736
Other practice location 15
1790 Old Trail Rd
Etters, PA 17319-9652
Phone (717) 938-6588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103219609 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 N 4TH St
2 Wellspan Family Medicine North Fourth STR
Lebanon, PA 17046-5606
Phone (717) 272-2940
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD459527 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Current | Accepting new patients |
| Good Samaritan Physician Services | Current | Accepting new patients | |
| Good Samaritan Physician Services | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Good Samaritan Physician Services | Current | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
1790 Old Trail Rd
Etters, PA 17319
Phone (717) 938-6588
55 N Main St
Jacobus, PA 17407
Phone (717) 428-1911
30 N 4th St
Lebanon, PA 17046
Phone (717) 270-1949
30 N 4th St
Fl 2
Lebanon, PA 17046
Phone (717) 272-2940
720 Norman Dr
Lebanon, PA 17042
Phone (717) 279-6700
844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875
6 Perri Ave
Myerstown, PA 17067
Phone (717) 949-6581
101 Fairview Cir
North Cornwall, PA 17042
Phone (717) 279-7303
430 N Main St
Spring Grove, PA 17362
Phone (717) 225-4884
130 Pine Grove Cmns
York, PA 17403
Phone (717) 851-5736
1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250
1575 Bannister St
Ste 1
York, PA 17404
Phone (717) 812-2000
1600 S George St
York, PA 17403
Phone (717) 848-3615
2003 Springwood Rd
York, PA 17403
Phone (717) 851-2521
25 Monument Rd
Ste 140
York, PA 17403
Phone (717) 741-8003
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
4020 Carlisle Rd
York, PA 17315
Phone (717) 812-4240
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- pbotros92883@wellspan.direct-ci.com
Organizations & group practices 7
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 WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Urology - Lebanon
- Urology Physician
- Lebanon, PA
- NPI 1558749846
-
dba WellSpan Heart Failure Program
- Cardiovascular Disease Physician
- York, PA
- NPI 1497521702
-
dba WellSpan Medical Oncology and Hematology
- Medical Oncology Physician
- Ephrata, PA
- NPI 1790551000
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Virtual Primary Care
- Family Medicine Physician
- York, PA
- NPI 1457044794
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Good Samaritan Hospital
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
dba WellSpan Good Samaritan Hospital
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
dba WellSpan Good Samaritan Hospital
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1760724074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 4TH ST",
"address_2": "2ND FLOOR",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465606",
"telephone_number": "717-274-0474"
}
],
"practiceLocations": [
{
"address_1": "1401 Roosevelt Ave",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174042244",
"country_code": "US",
"telephone_number": "717-812-7000",
"fax_number": "717-767-8985",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 N Main St",
"address_purpose": "LOCATION",
"city": "Jacobus",
"state": "PA",
"postal_code": "174071248",
"country_code": "US",
"telephone_number": "717-428-1911",
"fax_number": "717-428-2519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Monument Rd Ste 140",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035057",
"country_code": "US",
"telephone_number": "717-741-8003",
"fax_number": "717-461-7404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "54 S Forrest St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174045550",
"country_code": "US",
"telephone_number": "717-792-1811",
"fax_number": "717-553-1279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Willow St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170464871",
"country_code": "US",
"telephone_number": "717-356-2222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2003 Springwood Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174034836",
"country_code": "US",
"telephone_number": "717-851-2521",
"fax_number": "717-260-3330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1575 Bannister St Ste 1",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174044946",
"country_code": "US",
"telephone_number": "717-812-2000",
"fax_number": "717-812-2010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 Norman Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427481",
"country_code": "US",
"telephone_number": "717-274-6657",
"fax_number": "717-270-6615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Fairview Cir",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170429581",
"country_code": "US",
"telephone_number": "717-279-7303",
"fax_number": "717-279-7471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4020 Carlisle Rd",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "PA",
"postal_code": "173153508",
"country_code": "US",
"telephone_number": "717-851-6400",
"fax_number": "717-851-6410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "430 N Main St",
"address_purpose": "LOCATION",
"city": "Spring Grove",
"state": "PA",
"postal_code": "173621123",
"country_code": "US",
"telephone_number": "717-851-6500",
"fax_number": "717-775-3435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Perri Ave",
"address_purpose": "LOCATION",
"city": "Myerstown",
"state": "PA",
"postal_code": "170673200",
"country_code": "US",
"telephone_number": "717-949-6581",
"fax_number": "717-949-2816",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4050 N George St Ext",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "PA",
"postal_code": "173153508",
"country_code": "US",
"telephone_number": "717-812-4240",
"fax_number": "717-851-6410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Pine Grove Cmns",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035151",
"country_code": "US",
"telephone_number": "717-851-5736",
"fax_number": "717-715-1298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1790 Old Trail Rd",
"address_purpose": "LOCATION",
"city": "Etters",
"state": "PA",
"postal_code": "173199652",
"country_code": "US",
"telephone_number": "717-938-6588",
"fax_number": "717-938-9601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOTROS",
"first_name": "PAUL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-25",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD459527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103219609",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.