DR. MIA YU BOTHWELL MD, PHD
NPI 1376170548
Psychiatry & Neurology - Epilepsy
in Boston, MA
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, maintains a secondary practice location in Boston, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mia Yu Bothwell Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Mia Bothwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mia Bothwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mia Bothwell reassigns Medicare benefits to 3 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA) and Brigham & Womens Physicians Organization Inc (Boston, MA). 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 Mia Bothwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mia Bothwell accept?
Health plans from Anthem Blue Cross and Blue Shield list Mia Bothwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 4 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.
# Dr. Mia Yu Bothwell, MD, PHD · NPI 1376170548
Epilepsy physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1376170548 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Psychiatry & Neurology - Epilepsy · taxonomy 2084E0001X
- **State license:** 1019096 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2696
- **Phone:** (617) 726-5820
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA); Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2020
## Record status
- **NPPES last updated:** June 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376170548) · Data from the CMS NPPES public registry.