DR. ISSA M BOTROS MD
NPI 1124227772
Family Medicine - Adult Medicine in San Pedro, CA

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment
1499 W 1ST ST, SAN PEDRO, CA 90732(310) 241-2590 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2021, Sep 13, 2021, Jun 1, 2021 (3 updates tracked since 2021).

About Dr. Issa M Botros Md NPPES

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

DR. ISSA M BOTROS MD (NPI 1124227772) is an individual adult medicine provider in San Pedro, California, licensed in California (A106987) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1124227772
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. ISSA M BOTROSCredential: MD
Location Address1499 W 1ST STSan Pedro, CA 90732-3255
Mailing Address1499 W 1st StSan Pedro, CA 90732-3255 · (310) 241-2590
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 13, 2007
Last NPPES UpdateNovember 30, 20213 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
NPI 1124227772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Licenses Licensed in CA · A106987 Licensed in MI · 4301090843
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1499 W 1ST ST, San Pedro, CA 90732

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Issa M Botros 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.

PECOS PAC ID8022163211
PECOS Enrollment IDI20120410000184
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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
314 services261 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
100 services94 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
64 services63 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
60 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
49 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90732 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 5

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

Family Medicine
1499 W 1ST ST
SAN PEDRO, CA 90732
Internal Medicine
1499 W 1ST ST
SAN PEDRO, CA 90732
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1499 W 1ST ST
SAN PEDRO, CA 90732
Family Medicine
1499 W 1ST ST
SAN PEDRO, CA 90732
Family Medicine
1499 W 1ST ST
SAN PEDRO, CA 90732

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 Issa Botros's NPI number?

The NPI number for Issa Botros is 1124227772. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Issa Botros located?

Issa Botros practices at 1499 W 1st St, San Pedro, CA 90732. The listed phone number is (310) 241-2590.

What is Issa Botros's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Issa Botros enrolled in Medicare?

Yes. Issa Botros 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.

When was this NPI record last updated?

The NPPES record for Issa Botros was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.