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RONALD J BOTELHO M.D.
NPI 1235199373
Anesthesiology - Pain Medicine in Lakeport, CA

Active since March 24, 2006PECOS Enrolled
88.2/100
CMS Quality Rating
925 BEVINS CT, LAKEPORT, CA 95453(707) 263-8382(707) 263-1909 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ronald J Botelho M.d. NPPES

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

RONALD J BOTELHO M.D. (NPI 1235199373) is an individual pain medicine provider in Lakeport, California, licensed in California (G53308) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (1982).

NPPES Registry Identity

NPI1235199373
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameRONALD J BOTELHOCredential: M.D.
Location Address925 BEVINS CTLakeport, CA 95453-9754
Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 263-8382 · Fax (707) 263-1909
Phone(707) 263-8382
Fax(707) 263-1909
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1982
Enumeration DateMarch 24, 2006
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1235199373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · G53308
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 10484 (NV)
925 BEVINS CT, Lakeport, CA 95453
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11221 Farmers Ln, SUITE 500Santa Rosa, CA 95405-6712 · Phone (707) 569-3230 · Fax (707) 523-0119
Location 214440 Olympic DrClearlake, CA 95422-8809 · Phone (707) 533-2760 · Fax (707) 461-5103

Other Identifiers 1

Medicaid100501809NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronald J Botelho M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981702263
PECOS Enrollment IDI20090129000268
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 Reassignments

3

Medicare enrollment records show Ronald Botelho reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake County Tribal Health Consortium Inc.
Same address
Federally Qualified Health Center (FQHC)
925 BEVINS CT
Lakeport, CA 95453
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1881697381 (707) 263-8382
Sutter Bay Hospitals
4.8 mi
Rural Health
5176 HILL RD E
Lakeport, CA 95453
  • Reassigned Medicare billing, California enrollment
  • 132 clinicians in this Medicare group
NPI 1770816829 (707) 262-5000
Lyons Huber Management
18 mi
Anesthesiology
15630 18TH AVE
Clearlake, CA 95422
  • Reassigned Medicare billing, California enrollment
  • 29 clinicians in this Medicare group
NPI 1891370854 (707) 994-6486

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.57
Improvement Activities40

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.

MERRILL FEATHERSTONE MFC
Counselor (Mental Health)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
NICOLE R MARTINEZ REGISTERED NURSE
Registered Nurse (General Practice)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
MRS. MARY LINNELL M.A.
Health Educator
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
CHRISTIAN KENSHIN JOB
Registered Nurse (Administrator)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
DR. MARLIN NOELIA DURAN DDS
Dentist
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8383
JEALENA C CASPERSON
Social Worker (Clinical)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
YOLANDA SORTO CASTANON LMFT
Marriage & Family Therapist
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
CHARISSA M BARSOS NP
Nurse Practitioner
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382

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 Ronald Botelho's NPI number?

The NPI number for Ronald Botelho is 1235199373. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Ronald Botelho located?

Ronald Botelho practices at 925 Bevins Ct, Lakeport, CA 95453. The listed phone number is (707) 263-8382.

What is Ronald Botelho's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Ronald Botelho enrolled in Medicare?

Yes. Ronald Botelho is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ronald Botelho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Botelho reassigns Medicare benefits to 3 organizations: Lake County Tribal Health Consortium Inc. (Lakeport, CA), Sutter Bay Hospitals (Lakeport, CA) and Lyons Huber Management (Clearlake, CA). Each 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 Ronald Botelho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ronald Botelho was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.