DR. MIA YU BOTHWELL MD, PHD
NPI 1376170548
Psychiatry & Neurology - Epilepsy in Boston, MA

NPI Status: Active since March 26, 2020

Contact Information

55 FRUIT ST
BOSTON, MA
ZIP 02114
Phone: (617) 726-5820

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Epilepsy
  • PECOS Enrolled

About MIA BOTHWELL

This page provides the complete NPI Profile along with additional information for Mia Bothwell, a provider established in Boston, Massachusetts with a medical specialization in Psychiatry & Neurology, focusing in epilepsy . The healthcare provider is registered in the NPI registry with number 1376170548 assigned on March 2020. The practitioner's primary taxonomy code is 2084E0001X with license number 1019096 (MA). The provider is registered as an individual and her NPI record was last updated June 2026.

NPI
1376170548
Provider Name
DR. MIA YU BOTHWELL MD, PHD
Other Name
MIA YU
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
55 FRUIT ST BOSTON, MA 02114
Location Phone
(617) 726-5820
Mailing Address
15 PARKMAN ST # 835 BOSTON, MA 02114
Mailing Phone
(617) 726-5820
Is Sole Proprietor?
No
Enumeration Date
03-26-2020
Last Update Date
06-09-2026
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Location Map

Secondary Locations

  • 75 Francis St
    Boston, MA 02115
    (617) 732-5500

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Epilepsy

Taxonomy Code
2084E0001X
Type
Allopathic & Osteopathic Physicians
License No.
1019096
License State
MA
Taxonomy Description
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

1019096 (MA)

Medicare Participation & PECOS Enrollment Status

Mia Bothwell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376170548, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 2 + 7 + 0 + 5 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1376170548.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
55 FRUIT ST, WARREN 1220
BOSTON, MA 02114
Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine
55 FRUIT ST, 4710B
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, BUL 119
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, MGH, BULFINCH 2
BOSTON, MA 02114
Urology
55 FRUIT ST, GRB 1102
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, CLN 3
BOSTON, MA 02114
Orthopaedic Surgery
55 FRUIT ST, YAW 3E ORTHOPAEDIC ASSOCIATES
BOSTON, MA 02114
Pathology (Anatomic Pathology)
55 FRUIT ST, PATHOLOGY ASSOCIATES WRN 2
BOSTON, MA 02114
Pathology (Anatomic Pathology & Clinical Pathology)
55 FRUIT ST, GRB 5 PATHOLOGY ASSOCIATES
BOSTON, MA 02114
Psychologist
55 FRUIT ST, YAW 6A MASSACHUSSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Internal Medicine (Pulmonary Disease)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology (Pain Medicine)
55 FRUIT ST, CLN 309 ANESTHESIA ASSOCIATES
BOSTON, MA 02114
Internal Medicine (Endocrinology, Diabetes & Metabolism)
55 FRUIT ST, WEL 5
BOSTON, MA 02114
Internal Medicine
55 FRUIT ST, INFECTIOUS DISEASE ASSOCIATES GRJ 504
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
55 FRUIT ST, S50 4 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, CLN 3
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, FND 8 INFECTIOUS DISEASE ASSOCIATES
BOSTON, MA 02114
Anesthesiology (Critical Care Medicine)
55 FRUIT ST, ANESTHESIA ASSOCIATES GRB 406E
BOSTON, MA 02114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376170548, enumerated as an "individual" on March 26, 2020.

The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 726-5820.

Psychiatry & Neurology with taxonomy code 2084E0001X and a focus in Epilepsy .