Individual provider Active NPI

Jill Botelho, M.D.

  • Obstetrics Physician
  • Tampa, FL
National Provider Identifier
1982894879
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
ME101932 Issued in FL
Practice address
4321 N Macdill Ave Ste 205
Tampa, FL 33607-6390
Phone
(813) 961-7440
Fax
(813) 962-0951
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X ME101932 FL Primary

Addresses

Primary practice location

4321 N Macdill Ave Ste 205
Tampa, FL 33607-6390

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080917000830 FL Practitioner - Obstetrics/Gynecology 5991872962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Florida College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

4321 N Macdill Ave
Suite 205
Tampa, FL 33607-6390
Phone (813) 961-7440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101932FLMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC CurrentSince Aug 4, 2008 Accepting new patients

Locations

4211 Van Dyke Rd
Ste 207
Lutz, FL 33558
Phone (813) 879-7478

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

4321 N Macdill Ave
Ste 205
Tampa, FL 33607
Phone (813) 961-7440

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

10909 W Linebaugh Ave
Ste 104
Tampa, FL 33626
Phone (813) 920-1808

3331 W Fletcher Ave
Tampa, FL 33618
Phone (813) 972-4488

5002 W Lemon St
Tampa, FL 33609

Interoperability endpoints

  • Direct secure messaging: jill.botelho@wcfnf.eclinicaldirectplus.com
  • Direct secure messaging: jill.botelho.1@18455.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1982894879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 N MACDILL AVE STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076390",
            "telephone_number": "813-961-7440",
            "fax_number": "813-962-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELHO",
        "first_name": "JILL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "ME101932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.