Maged Botros, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

04-29487 Issued in KS

Practice address

929 N Saint Francis St
Wichita, KS 67214-3821

Phone

(316) 268-5757

Fax

(316) 268-7496

NPI assigned

May 27, 2006

Last updated

Nov 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS, CT, MO, ND4 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 4

Specialty

Emergency Medicine

Education

Jefferson Medical College of Thomas Jefferson University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Medical Center LLCGroup PAC ID 2668476862, 54 clinicians

Cep America - Kansas LLCGroup PAC ID 3971814286, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197
• Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200
• Eagle Butte Indian Health Service Hospital Hospital, Eagle Butte, SD, CCN 431383
• Rock Regional Hospital, LLC Hospital, Derby, KS, CCN 170204

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1659768125
  Medicare reassignment Care Compare group NPD
• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Medicare reassignment Care Compare group NPD
• Hutchinson Regional Medical Center, Inc.

  • Hospitalist Physician
  • Hutchinson, KS
  • NPI 1972605285

  Emergency Medicine

  Medicare reassignment NPD
• Rock Regional Hospital, LLC

  dba Rock Regional Clinic

  • Multi-Specialty Clinic/Center
  • Derby, KS
  • NPI 1598641219
  Medicare reassignment NPD
• Cep America, LLC

  dba Vituity

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1619332046
  Medicare reassignment NPD
• Emergency Physicians of Connecticut PC

  • Emergency Medicine Physician
  • Waterbury, CT
  • NPI 1902278906
  Medicare reassignment NPD
• Mercy Medical Center

  • Psychiatry Physician
  • Williston, ND
  • NPI 1801928593
  Medicare reassignment NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Derby, KS
  • NPI 1841754660
  NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wellington, KS
  • NPI 1932704608
  NPD
• Hutchinson Regional Medical Center, Inc.

  dba Hutchinson Regional Physician Network

  • Pulmonary Disease Physician
  • Hutchinson, KS
  • NPI 1659931525
  NPD
• Kansas Medical Center, LLC

  dba KMC Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Andover, KS
  • NPI 1801007786
  NPD
• Kansas Medical Center, LLC

  dba Andover Anesthesia Care Specialists

  • Anesthesiology Physician
  • Andover, KS
  • NPI 1952512832
  NPD

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

• Ascension Via Christi Hospital St Teresa Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1023334950
  Care Compare affiliation
• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Care Compare affiliation
• Eagle Butte Indian Health Service Hospital

  • Public Health or Welfare Agency
  • Eagle Butte, SD
  • NPI 1558395848

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1982651824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5757",
            "fax_number": "316-268-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5757",
            "fax_number": "316-268-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTROS",
        "first_name": "MAGED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD15648",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-29487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "101810",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100419770A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Bosh, MD
• Trisha L Bosken, SLP
• Kresta L Bosley, MS ATC LAT
• Autumn Boss, LMSW
• Abigail Boswell
• Tiffany Bouddhara, MD
• Emily Ann Boughton, LPC
• Nour Boulad, M.D.
• Jessica Anne Boulware, MS, LMFT
• Casandra Lynn Bourn, APRN, FNP-C

• Emergency Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Emergency Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.