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TATIANA M BOTERO-DUQUE DDS
NPI 1215126610
Dentist - General Practice in Ann Arbor, MI

Active since October 22, 2007PECOS Enrolled
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109(734) 936-2526(734) 936-1597 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tatiana M Botero-duque Dds NPPES

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

TATIANA M BOTERO-DUQUE DDS (NPI 1215126610) is an individual general practice provider in Ann Arbor, Michigan, licensed in Michigan (2901018360) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215126610
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameTATIANA M BOTERO-DUQUECredential: DDS
Location Address1011 N UNIVERSITY AVEAnn Arbor, MI 48109-1078
Mailing Address1011 N University AveAnn Arbor, MI 48109-1078 · (734) 936-2526 · Fax (734) 936-1597
Phone(734) 936-2526
Fax(734) 936-1597
Sole ProprietorNo
Enumeration DateOctober 22, 2007
Last NPPES UpdateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
✔ NPI 1215126610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901018360
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 2901018360 (MI)
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 2901018360 (MI)
1011 N UNIVERSITY AVE, Ann Arbor, MI 48109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatiana M Botero-duque Dds 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 48109 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

DAMIEN S KAISER DDS
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 647-4166
NICK SIMONE DDS
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 763-1375
SUMANT RAM DDS
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 763-1375
MICHAEL E RAZZOOG DDS
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 647-4177
HAVVA Z ERTUGRUL DDS
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 764-1523
ASHLEY NEMEC DMD
Dentist
1011 N UNIVERSITY AVE, ROOM 2008, SPC 1078
ANN ARBOR, MI 48109
Washtenaw County (734) 615-8606
BRUNO CAVALCANTI DDS
Dentist
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 548-2743
CHU CHUN HSIAO
Dentist (General Practice)
1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109
Washtenaw County (734) 764-1523

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 Tatiana Botero-duque's NPI number?

The NPI number for Tatiana Botero-duque is 1215126610. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Where is Tatiana Botero-duque located?

Tatiana Botero-duque practices at 1011 N University Ave, Ann Arbor, MI 48109. The listed phone number is (734) 936-2526.

What is Tatiana Botero-duque's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tatiana Botero-duque enrolled in Medicare?

Yes. Tatiana Botero-duque is registered in the Medicare PECOS enrollment system.

What insurance does Tatiana Botero-duque accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana list Tatiana Botero-duque 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.

When was this NPI record last updated?

The NPPES record for Tatiana Botero-duque was last updated on August 3, 2022. 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.