| NPI | 1023044245 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-06-23 |
| Last Updated | 2025-04-15 |
| Mailing Address | 550 Long Point Rd # 100 Mount Pleasant, SC 29464-8000 United States Phone: (843) 606-9199 | Fax: (843) 718-2858 📍 View Map |
| Primary Practice Address | 550 Long Point Rd # 100 Mount Pleasant, SC 29464-8000 United States Phone: (843) 606-9199 | Fax: (843) 718-2858 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | SC | 253442 | — |
| Other (non-Medicare) | SC | 571020809012 | BCBS SC |
| Other (non-Medicare) | SC | 571020809058 | Tricare SC |
| Other (non-Medicare) | SC | A913 | Tina Botelho MD PTAN associated Legacy Internal Medicine LLC |
| Other (non-Medicare) | SC | AA8570A913 | Legacy Internal Medicine LLC--Group PTAN |
| Other (non-Medicare) | SC | P00202158 | RR Medicare |
| Other (non-Medicare) | SC | P00802342 | RR Medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | SC | 25344 |
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About NPI 1023044245
Tina M Botelho MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1023044245. The primary specialty listed is Internal Medicine. The provider is located in Mount Pleasant, SC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1023044245?
NPI 1023044245 belongs to Tina M Botelho MD, a Internal Medicine in Mount Pleasant, SC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1023044245 active?
The current status of NPI 1023044245 in the NPPES registry is Active. The record was last updated on 2025-04-15.
What specialty is NPI 1023044245?
NPI 1023044245 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1023044245?
You can verify NPI 1023044245 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1023044245?
The primary practice address on file for NPI 1023044245 is 550 Long Point Rd # 100, Mount Pleasant, SC 29464-8000. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1023044245 issued?
NPI 1023044245 was first issued (enumerated) on 2006-06-23. The NPPES record was last updated on 2025-04-15.
Practice Location Map
Tina M Botelho is located at 550 Long Point Rd # 100, Mount Pleasant, SC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tina M Botelho. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1023044245. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 25344 | SC |