AL-BOTROS PLLC
NPI 1063573459
Psychiatry & Neurology - Psychiatry in Oklahoma City, OK
About Al-botros Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AL-BOTROS PLLC (NPI 1063573459) is a healthcare organization registered as a psychiatry in Oklahoma City, Oklahoma and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Adonis Simon Al-botros, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Al-botros Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Al-Botros PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D2087746
Al-Botros PLLC · Oklahoma City, OKFrequently 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 Al-Botros PLLC's NPI number?
The NPI number for Al-Botros PLLC is 1063573459. It was assigned to this organization in the NPPES registry on December 12, 2006.
Where is Al-Botros PLLC located?
Al-Botros PLLC is located at 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103. The listed phone number is (405) 600-6730.
What is Al-Botros PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Al-Botros PLLC enrolled in Medicare?
Yes. Al-Botros PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Al-Botros PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Al-Botros PLLC, in Nurse Practitioner and Psychiatry. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Al-Botros PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2087746) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Al-Botros PLLC was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Al-Botros Pllc · NPI 1063573459
Psychiatry organization in Oklahoma City, Oklahoma. Organization record, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1063573459 (Entity type: Organization)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Adonis Al-Botros, PHYSICIAN
## Practice location
- **Address:** 1111 N LEE AVE STE 105, Oklahoma City, OK 73103-2620
- **Phone:** (405) 600-6730 · **Fax:** (405) 600-6750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Psychiatry (2); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 248508101 (OK); Medicaid 100224280A (OK); Medicare ID-Type Unspecified 800522419 (OK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063573459) · Data from the CMS NPPES public registry.