Individual provider Active NPI

Wendy J Bottinor, MD

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1841581501
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101268750 Issued in VA
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

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100500750MedicaidKY
300008459MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171115003954 KY Practitioner - Cardiovascular Disease (Cardiology) 7012158553 Reassigns benefits to 1 organization
I20180816003396 TN Practitioner - Cardiovascular Disease (Cardiology) 7012158553 Reassigns benefits to 1 organization
I20200923001273 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012158553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

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

LicenseStateTypeSpecialty
MD55786TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center CurrentSince Aug 15, 2018 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 15, 2017 Accepting new patients
MCV Associated Physicians CurrentSince Jul 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 15, 2017 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.