Carlos Alberto Botero, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME72561 Issued in FL

Practice address

541 S Florida Ave
Lakeland, FL 33801-5228

Phone

(863) 682-7246

Fax

(863) 682-5566

NPI assigned

Dec 2, 2005

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

AnesthesiologyAlso: Pain Management

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lockwood and Steely, MD's, PAGroup PAC ID 9830090885, 19 clinicians

Pain Medicine IncGroup PAC ID 4880756204, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Florida Baptist Hospital Hospital, Plant City, FL, CCN 100132

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Lockwood & Steely, MD's, PA

  • Pain Medicine (Anesthesiology) Physician
  • Plant City, FL
  • NPI 1972697266
  Medicare reassignment Care Compare group NPD
• Pain Medicine Inc

  • Pain Medicine Physician
  • Lakeland, FL
  • NPI 1376706283

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Lakeland FL Endoscopy ASC LLC

  dba Surgery Center of Lakeland Hills Boulevard

  • Ambulatory Surgical Clinic/Center
  • Lakeland, FL
  • NPI 1649244567
  Medicare reassignment NPD
• Polk County Anesthesia

  • Anesthesiology Physician
  • Bartow, FL
  • NPI 1558394940
  NPD (past)

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

• South Florida Baptist Hospital Inc

  dba South Florida Baptist Hospital

  • General Acute Care Hospital
  • Plant City, FL
  • NPI 1548205883
  Care Compare affiliation

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1902880933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100910",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844548",
            "telephone_number": "863-682-7246",
            "fax_number": "863-682-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015228",
            "telephone_number": "863-682-7246",
            "fax_number": "863-682-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 N Alexander St",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335633064",
            "country_code": "US",
            "telephone_number": "813-999-2000 x4",
            "fax_number": "813-501-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTERO",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME72561",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "ME72561",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME72561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Joy Bosilovich, PT, ATC
• William Robert Bosley, MD
• William J Boss Jr.
• Fallon Charlinda Boston, APRN
• Andrew Bostrom, RMHCI
• Abigail Bott
• Zachary Boucher, M.D.
• Jennifer Bourne, MD
• Jacob Boutros
• Andrea Nicole Bouvier, LMHC

• Interventional Pain Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.