Individual provider Active NPI

Robert E Botti Jr., M.D.

  • Cardiovascular Disease Physician
  • Mentor, OH
National Provider Identifier
1841285376
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35052571B Issued in OH
Practice address
7200 Mentor Ave
Mentor, OH 44060-7522
Phone
(440) 942-5400
Fax
(440) 942-9055
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35052571B OH Primary

Addresses

Primary practice location

7200 Mentor Ave
Mentor, OH 44060-7522

Mailing address

7200 Mentor Ave
Mentor, OH 44060-7522
Phone (440) 942-5400

Other identifiers 2

IdentifierTypeStateIssuer
0822159MedicaidOH
060054857OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040401000374 OH Practitioner - Cardiovascular Disease (Cardiology) 8123010923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Consultants of Cleveland IncGroup PAC ID 3375444136, 2 clinicians

Practice addresses (Care Compare)

7200 Mentor Ave
Mentor, OH 44060-7522
Phone (440) 942-5400

Hospital & facility affiliations

  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35052571BOHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants of Cleveland Inc Cardiovascular Disease CurrentSince Jan 1, 2004 Accepting new patients
Mychoice Solutions LLC PastSince Feb 16, 2021 Accepting new patients
Center for Advanced Vein Care LLC Past Accepting new patients

Locations

470 Center St
#6
Chardon, OH 44024
Phone (216) 732-7000

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

26250 Euclid Ave
Ste 307
Euclid, OH 44132
Phone (216) 732-7000

1220 Som Center Rd
#D
Mayfield Heights, OH 44124
Phone (440) 710-1140

6770 Mayfield Rd
Ste 322
Mayfield Heights, OH 44124
Phone (440) 449-1710

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

6555 Wilson Mills Rd
Ste 103D
Mayfield Village, OH 44143
Phone (440) 442-8313

8300 Norton Pkwy
Mentor, OH 44060
Phone (213) 444-2200

7200 Mentor Ave
Mentor, OH 44060
Phone (440) 946-8809

15065 Kinsman Rd
Ste 5
Middlefield, OH 44062
Phone (440) 273-8093

15065 Kinsman Rd
Middlefield, OH 44062
Phone (440) 632-5814

36100 Euclid Ave
Ste 330B
Willoughby, OH 44094
Phone (440) 449-2000

36100 Euclid Ave
Ste 300
Willoughby, OH 44094
Phone (440) 942-4844

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71745
  • FHIR API: https://api.platform.athenahealth.com/20605/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1841285376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607522",
            "telephone_number": "440-942-5400",
            "fax_number": "440-942-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607522",
            "telephone_number": "440-942-5400",
            "fax_number": "440-942-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTI",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35052571B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0822159",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060054857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.