DR. RAOUL RUDOLPH BOTHA MD
NPI 1003518754
Internal Medicine in Largo, FL
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, is affiliated with Kootenai Health, and maintains a secondary practice location in Coeur D Alene.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Raoul Rudolph Botha Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Raoul Botha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coeur D Alene, ID 83814
- Reassigned Medicare billing, Idaho enrollment
- 472 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDPhysician 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.
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.
LARGO, FL 33770
LARGO, FL 33770
LARGO, FL 33770
LARGO, FL 33770
LARGO, FL 33770
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Raoul Botha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raoul Botha reassigns Medicare benefits to Kootenai Health, Inc. (Coeur D Alene, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raoul Botha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raoul Botha accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Raoul Botha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Raoul Botha affiliated with any hospitals?
According to CMS data, Raoul Botha is affiliated with Kootenai Health.
When was this NPI record last updated?
The NPPES record for Raoul Botha was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Raoul Rudolph Botha, MD · NPI 1003518754
Internal Medicine physician in Largo, Florida. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1003518754 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 4271195 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 201 14TH ST SW, Largo, FL 33770-3133
- **Phone:** (727) 588-5704
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kootenai Health, Inc. (NPI 1174661151, Coeur D Alene, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003518754) · Data from the CMS NPPES public registry.