THOMAS BOTSFORD MD
NPI 1184011108
Anesthesiology in Plymouth, MN

Q: What is Thomas Botsford's NPI number?

The NPI number for Thomas Botsford is 1184011108. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Q: What is Thomas Botsford's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Botsford was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment

14700 28TH AVE N STE 20, PLYMOUTH, MN 55447(763) 559-3779(763) 450-3986 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Thomas Botsford Md NPPES

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

THOMAS BOTSFORD MD (NPI 1184011108) is an individual anesthesiology provider in Plymouth, Minnesota, licensed in Minnesota (65529) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1184011108

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameTHOMAS BOTSFORDCredential: MD

Location Address14700 28TH AVE N STE 20Plymouth, MN 55447-4876

Mailing AddressPo Box 47159Plymouth, MN 55447-0159 · (763) 559-3779 · Fax (763) 450-3986

Phone(763) 559-3779

Fax(763) 450-3986

Sole ProprietorYes

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2015

Enumeration DateApril 16, 2015

Last NPPES UpdateJune 6, 2019

✔ NPI 1184011108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MN · 65529

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

14700 28TH AVE N STE 20, Plymouth, MN 55447

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Secondary Practice Location 1

Location 19500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-2200 · Fax (216) 445-0605

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

Thomas Botsford 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 ID9830479369

PECOS Enrollment IDI20190619002589

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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Botsford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metropolitan Anesthesia Network, LLP

Same address

Anesthesiology

14700 28TH AVE N, SUITE 20
Plymouth, MN 55447

Reassigned Medicare billing, Minnesota enrollment
1,033 clinicians in this Medicare group

NPI 1558314427 (763) 559-3779

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

29 services29 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

25 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

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.

PETER WILLIAM COLEMAN

Anesthesiology