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TINA M BOTELHO MD NPI 1023044245


NPI Information

NPI: 1023044245
Provider Name: TINA M BOTELHO, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9275 MEDICAL PLAZA DR STE D
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 718-2856
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Tina M Botelho, MD is an internal medicine in North Charleston, SC with 23 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Tina M Botelho, MD NPI is 1023044245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

9275 MEDICAL PLAZA DR STE D
NORTH CHARLESTON, SC
ZIP 29406-140
Phone: (843) 718-2856
Fax: (843) 718-2858

The NPI 1023044245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)

The enumeration date for this NPI number is 6/23/2006 and was last updated on 5/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine25344SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1253442MEDICAIDSOUTH CAROLINA
2P00802342OTHERSOUTH CAROLINARR MEDICARE
3A913OTHERSOUTH CAROLINATINA BOTELHO MD PTAN ASSOCIATED LEGACY INTERNAL MEDICINE LLC
4571020809012OTHERSOUTH CAROLINABCBS SC
5AA8570A913OTHERSOUTH CAROLINALEGACY INTERNAL MEDICINE LLC--GROUP PTAN
6P00202158OTHERSOUTH CAROLINARR MEDICARE
7571020809058OTHERSOUTH CAROLINATRICARE SC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.