DAVID B. BOTROS MD
NPI 1265079925
Neurological Surgery in Salt Lake City, UT

Active since December 02, 2019PECOS Enrolled
175 N MEDICAL DR RM 5323, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David B. Botros Md NPPES

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

DAVID B. BOTROS MD (NPI 1265079925) is an individual neurological surgery provider in Salt Lake City, Utah, licensed in Utah (13509675-1205) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1265079925
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDAVID B. BOTROSCredential: MD
Location Address175 N MEDICAL DR RM 5323Salt Lake City, UT 84112-1103
Mailing Address175 N Medical Dr Rm 5323Salt Lake City, UT 84112-1103 · (801) 581-2121
Sole ProprietorNo
Enumeration DateDecember 2, 2019
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1265079925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in UT · 13509675-1205
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
175 N MEDICAL DR RM 5323, Salt Lake City, UT 84112

Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David B. Botros Md 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 84112 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 10

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

Neurological Surgery
175 N MEDICAL DR RM 5323
SALT LAKE CITY, UT 84112
Neurological Surgery
175 N MEDICAL DR RM 5323
SALT LAKE CITY, UT 84112
Neurological Surgery
175 N MEDICAL DR RM 5323
SALT LAKE CITY, UT 84112
Neurological Surgery
175 N MEDICAL DR RM 5323
SALT LAKE CITY, UT 84112
Neurological Surgery
175 N MEDICAL DR RM 5323
SALT LAKE CITY, UT 84112
Neurological Surgery
175 N MEDICAL DR RM 5323
SALT LAKE CITY, UT 84112
Neurological Surgery
175 N MEDICAL DR RM 5323
SALT LAKE CITY, UT 84112
Neurological Surgery
175 N MEDICAL DR RM 5323
SALT LAKE CITY, UT 84112

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 David Botros's NPI number?

The NPI number for David Botros is 1265079925. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is David Botros located?

David Botros practices at 175 N Medical Dr Rm 5323, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is David Botros's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is David Botros enrolled in Medicare?

Yes. David Botros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Botros was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.