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

Q: What is Mia Bothwell's NPI number?

The NPI number for Mia Bothwell is 1376170548. It was assigned to this individual provider in the NPPES registry on March 26, 2020. The provider is also known as Mia Yu.

Q: What is Mia Bothwell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Q: When was this NPI record last updated?

The NPPES record for Mia Bothwell was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 26, 2020PECOS Enrolled

55 FRUIT ST, BOSTON, MA 02114(617) 726-5820 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mia Yu Bothwell Md, Phd NPPES

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

DR. MIA YU BOTHWELL MD, PHD (NPI 1376170548) is an individual epilepsy provider in Boston, Massachusetts, licensed in Massachusetts (1019096) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1376170548

Entity TypeIndividualFemale

Primary Taxonomy2084E0001X

Provider Legal NameDR. MIA YU BOTHWELLCredential: MD, PHD

Location Address55 FRUIT STBoston, MA 02114-2696

Mailing Address15 Parkman St # 835Boston, MA 02114-3117 · (617) 726-5820

Phone(617) 726-5820

Sole ProprietorNo

Enumeration DateMarch 26, 2020

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1376170548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians

Taxonomy Code2084E0001X

License✔ Licensed in MA · 1019096

Definition

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.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 1019096 (MA)

55 FRUIT ST, Boston, MA 02114

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Other Names 1

Former Name (1)Mia Yu

Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6106 · Phone (617) 732-5500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mia Yu Bothwell Md, Phd 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.

STUTI GIRISH SHROFF MD, MBBS

Pathology (Anatomic Pathology)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 726-2971

NANCY WANG M.D.

Internal Medicine (Hematology & Oncology)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (017) 724-4000

DR. DUSAN HANIDZIAR M.D., PH.D.

Anesthesiology

55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114

Suffolk County (617) 726-3030

JOHN JOSEPH DANKO DO

Physical Medicine & Rehabilitation

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 726-2000

DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.

Internal Medicine (Infectious Disease)

55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114

Suffolk County (617) 724-9248

MS. KELLY ELISHA TRECARTIN NP

Nurse Practitioner (Acute Care)

55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114

Suffolk County (617) 726-7400

JAMIE MARIE ALLEN NP

Nurse Practitioner

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 724-4410

DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.

Internal Medicine (Cardiovascular Disease)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 643-3238

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 Mia Bothwell's NPI number?

The NPI number for Mia Bothwell is 1376170548. It was assigned to this individual provider in the NPPES registry on March 26, 2020. The provider is also known as Mia Yu.

Where is Mia Bothwell located?

Mia Bothwell practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-5820.

What is Mia Bothwell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Is Mia Bothwell enrolled in Medicare?

Yes. Mia Bothwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mia Bothwell was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.