Individual provider Active NPI

Michael J Botticelli, M.D.

  • Obstetrics Physician
  • Leonardtown, MD
National Provider Identifier
1962439273
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
D87500 Issued in MD
Practice address
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone
(301) 475-6001
NPI assigned
Jun 26, 2006
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101057615 VA
Specialist 174400000X D0087500 MD
Obstetrics Physician 207VX0000X 0101057615 VA
Obstetrics Physician 207VX0000X D87500 MD Primary

Addresses

Primary practice location

25500 Point Lookout Rd
Leonardtown, MD 20650-2015

Mailing address

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424
Phone (540) 434-3831

Other practice location 1

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424
Phone (540) 434-3831

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 776-4001

Other practice location 3

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 564-5435

Other identifiers 1

IdentifierTypeStateIssuer
006200371MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20111214000012 VA Practitioner - Obstetrics/Gynecology 7719157809 Reassigns benefits to 3 organizations
I20211203000549 DC Practitioner - Obstetrics/Gynecology 7719157809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians
Obhg Virginia LLCGroup PAC ID 9436323342, 46 clinicians

Practice addresses (Care Compare)

136 W Elizabeth St
Harrisonburg, VA 22802-3811

13710 St Francis Blvd
Midlothian, VA 23114-3267
Phone (864) 603-5203

1790 E Market St
Suite 64B
Harrisonburg, VA 22801-5197
Phone (540) 534-6335

2006 Health Campus Dr
Rockingham, VA 22801-8679

2008 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-7000

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1110

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424
Phone (540) 534-6335

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0087500MDMDSpecialist
0101057615VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 26, 2022 Accepting new patients
RMH Medical Group LLC CurrentSince Oct 2, 2023 Accepting new patients
RMH Medical Group LLC CurrentSince Oct 2, 2023 Accepting new patients
Inova Health Care Services CurrentSince Nov 24, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 26, 2022 Accepting new patients
Inova Health Care Services CurrentSince Nov 24, 2021 Accepting new patients
Obhg Virginia, LLC CurrentSince Apr 2, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801
Phone (540) 434-3831

8644 Sudley Rd
#220
Manassas, VA 20110

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Interoperability endpoints

  • Direct secure messaging: mbotticelli@hbobgyn.gwaydirect.com
  • Direct secure messaging: mbotticelli221343@direct.sentara.net
  • Direct secure messaging: mbotticelli644784@direct.umm.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1962439273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 EVELYN BYRD AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015424",
            "telephone_number": "540-434-3831",
            "fax_number": "540-432-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502015",
            "telephone_number": "301-475-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2291 Evelyn Byrd Ave",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228015424",
            "country_code": "US",
            "telephone_number": "540-434-3831",
            "fax_number": "540-432-0518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Health Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-564-5435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTICELLI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101057615",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0087500",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "VA",
            "license": "0101057615",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MD",
            "license": "D87500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006200371",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.