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DR. RAOUL RUDOLPH BOTHA MD
NPI 1003518754
Internal Medicine in Largo, FL

Active since March 20, 2023PECOS Enrolled
201 14TH ST SW, LARGO, FL 33770(727) 588-5704 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2026, Mar 20, 2023 (2 updates tracked since 2023).

About Dr. Raoul Rudolph Botha Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAOUL RUDOLPH BOTHA MD (NPI 1003518754) is an individual internal medicine provider in Largo, Florida, licensed in Idaho (4271195) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1003518754
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAOUL RUDOLPH BOTHACredential: MD
Location Address201 14TH ST SWLargo, FL 33770-3133
Mailing Address201 14th St SwLargo, FL 33770-3133 · (727) 588-5704
Phone(727) 588-5704
Sole ProprietorYes
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1003518754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · 4271195
Definition
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.
Also ListedHospitalistTaxonomy 208M00000X · License 4271195 (ID)
201 14TH ST SW, Largo, FL 33770
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Secondary Practice Location 1

Location 12003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-6900 · Fax (208) 625-6910

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raoul Rudolph Botha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33770 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HURARA KHAN
Student in an Organized Health Care Education/Training Program
201 14TH ST SW
LARGO, FL 33770
Pinellas County (813) 545-1090
SHIV BRIJ GAKHAR DO
Student in an Organized Health Care Education/Training Program
201 14TH ST SW
LARGO, FL 33770
Pinellas County (727) 588-5200
DR. GEORGE MIKHAIL MD
Student in an Organized Health Care Education/Training Program
201 14TH ST SW
LARGO, FL 33770
Pinellas County (727) 588-5680
MIRYAM MAKUTONIN DO
Student in an Organized Health Care Education/Training Program
201 14TH ST SW
LARGO, FL 33770
Pinellas County (727) 588-5680
DEBORAH JANAVS ARNP
Nurse Practitioner
201 14TH ST SW
LARGO, FL 33770
Pinellas County (727) 588-5222
SUHAIL KAYYALI
Internal Medicine (Gastroenterology)
201 14TH ST SW
LARGO, FL 33770
Pinellas County (305) 303-0317
SANDRA VIGO APRN
Nurse Practitioner (Family)
201 14TH ST SW
LARGO, FL 33770
Pinellas County (727) 588-5200
ASTRA NEUROSURGICAL INSTITUTE, LLC
Neurological Surgery
201 14TH ST SW
LARGO, FL 33770
Pinellas County (718) 360-7534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raoul Botha's NPI number?

The NPI number for Raoul Botha is 1003518754. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Raoul Botha located?

Raoul Botha practices at 201 14th St SW, Largo, FL 33770. The listed phone number is (727) 588-5704.

What is Raoul Botha's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raoul Botha enrolled in Medicare?

Yes. Raoul Botha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raoul Botha was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.