MINA BOTROS MD
NPI 1316798036
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since March 29, 2024PECOS Enrolled
100 CENTURY DR, WORCESTER, MA 01606(508) 334-1000 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mina Botros Md NPPES

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

MINA BOTROS MD (NPI 1316798036) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316798036
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMINA BOTROSCredential: MD
Location Address100 CENTURY DRWorcester, MA 01606-1244
Mailing Address100 Century DrWorcester, MA 01606-1244 · (508) 334-1000
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
NPI 1316798036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 CENTURY DR, Worcester, MA 01606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mina 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.

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.

Psychiatry & Neurology (Psychiatry)
100 CENTURY DR
WORCESTER, MA 01606
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Nurse Practitioner (Psychiatric/Mental Health)
100 CENTURY DR
WORCESTER, MA 01606
Pharmacist
100 CENTURY DR
WORCESTER, MA 01606
Clinical Nurse Specialist (Psychiatric/Mental Health)
100 CENTURY DR
WORCESTER, MA 01606
Student in an Organized Health Care Education/Training Program
100 CENTURY DR
WORCESTER, MA 01606
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606

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 Mina Botros's NPI number?

The NPI number for Mina Botros is 1316798036. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Mina Botros located?

Mina Botros practices at 100 Century Dr, Worcester, MA 01606. The listed phone number is (508) 334-1000.

What is Mina Botros's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mina Botros enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mina Botros was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.