Active NPI
Wendy J Bottinor, MD
- Cardiovascular Disease Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101268750
- Practice address
- 401 E Chestnut St Unit 310
Louisville, KY 40202-5703 - Phone
- (502) 588-4710
- Fax
- (502) 588-4771
- NPI assigned
- Apr 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 47023 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | MD55786 | TN | |
| Cardiovascular Disease Physician | 207RC0000X | 0101268750 | VA | Primary |
Addresses
Primary practice location
401 E Chestnut St Unit 310
Louisville, KY 40202-5703
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-4710
Other practice location 1
401 E Chestnut St Unit 310
Louisville, KY 40202
Phone (502) 588-4710
Other practice location 2
500 J Clyde Morris Blvd Fl Annex1
Newport News, VA 23601-1929
Phone (757) 612-6391
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100500750 | Medicaid | KY | |
| 300008459 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
417 N 11TH St
Richmond, VA 23298-5024
Phone (804) 828-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD55786 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University Medical Center | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| MCV Associated Physicians | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients |
Locations
Dept A T 40379
Atlanta, GA 31192
7752 Solution Ctr
Chicago, IL 60677
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563
719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733
9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906
618 Hospital Rd
#2
Tappahannock, VA 22560
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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
-
- General Acute Care Hospital
- Tappahannock, VA
- NPI 1760580757
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1841581501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-588-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CHESTNUT ST UNIT 310",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402025703",
"telephone_number": "502-588-4710",
"fax_number": "502-588-4771"
}
],
"practiceLocations": [
{
"address_1": "401 E Chestnut St Unit 310",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "40202",
"country_code": "US",
"telephone_number": "502-588-4710",
"fax_number": "502-588-4771",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 J Clyde Morris Blvd Fl Annex1",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236011929",
"country_code": "US",
"telephone_number": "757-612-6391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOTTINOR",
"first_name": "WENDY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "47023",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "MD55786",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101268750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100500750",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300008459",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.