DR. PETER BOTROS DO
NPI 1508445768
Neuromusculoskeletal Medicine & OMM in Clovis, CA

Q: What is Peter Botros's NPI number?

The NPI number for Peter Botros is 1508445768. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Peter Botros's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: Is Peter Botros enrolled in Medicare?

No. Peter Botros has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Peter Botros was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 April 05, 2021Opted out of Medicare · through Mar 23, 2028

1612 N MOORE LN, CLOVIS, CA 93619(321) 800-5569 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, Apr 5, 2021 (2 updates tracked since 2021).

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About Dr. Peter Botros Do NPPES

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

DR. PETER BOTROS DO (NPI 1508445768) is an individual neuromusculoskeletal medicine & omm provider in Clovis, California, licensed in California (20A22840) and active in the NPI registry since April 2021. He has opted out of Medicare through March 23, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508445768

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameDR. PETER BOTROSCredential: DO

Location Address1612 N MOORE LNClovis, CA 93619-2002

Mailing Address1612 N Moore LnClovis, CA 93619-2002 · (321) 800-5569

Phone(321) 800-5569

Sole ProprietorNo

Enumeration DateApril 5, 2021

Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1508445768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in CA · 20A22840

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1612 N MOORE LN, Clovis, CA 93619

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Secondary Practice Locations 2

Location 120900 Biscayne BlvdAventura, FL 33180-1495 · Phone (305) 692-3325

Location 24351 E Lohman Ave Ste 300Las Cruces, NM 88011-8262 · Phone (575) 556-7600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Peter Botros Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 23, 2026 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2026

Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Peter Botros's NPI number?

The NPI number for Peter Botros is 1508445768. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Peter Botros located?

Peter Botros practices at 1612 N Moore Ln, Clovis, CA 93619. The listed phone number is (321) 800-5569.

What is Peter Botros's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Peter Botros enrolled in Medicare?

No. Peter Botros has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Peter Botros was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.