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DR. MARIAM BOTROS DPM
NPI 1619328457
Podiatrist - Foot & Ankle Surgery in Arcadia, CA

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
450 E HUNTINGTON DR, ARCADIA, CA 91006(626) 462-1884 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2025, Jun 23, 2016 (2 updates tracked since 2016).

About Dr. Mariam Botros Dpm NPPES

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

DR. MARIAM BOTROS DPM (NPI 1619328457) is an individual foot & ankle surgery provider in Arcadia, California, licensed in California (EL6794) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Long Beach, and is a graduate of Western University Of Health Sciences College Of Dental Med (2019).

NPPES Registry Identity

NPI1619328457
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MARIAM BOTROSCredential: DPM
Location Address450 E HUNTINGTON DRArcadia, CA 91006-3748
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(626) 462-1884
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2019
Enumeration DateJune 23, 2016
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1619328457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · EL6794
450 E HUNTINGTON DR, Arcadia, CA 91006
Open in Google Maps ↗

Secondary Practice Location 1

Location 12801 Atlantic AveLong Beach, CA 90806-1701 · Phone (562) 933-7243 ext. 18881

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. Mariam Botros Dpm 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.

PECOS PAC ID6608102611
PECOS Enrollment IDI20190730000569
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.

Medicare Billing Reassignment

Medicare enrollment records show Mariam Botros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthcare Partners Affiliates Medical Group
16 mi
Internal Medicine
1120 W WASHINGTON BLVD
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1659312593 (213) 623-2225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services32 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
33 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

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.

ANJALI AGRAWAL P.A.
Physician Assistant
450 E HUNTINGTON DR
ARCADIA, CA 91006
Los Angeles County (626) 462-1884
VIVIAN NGO
Internal Medicine
450 E HUNTINGTON DR
ARCADIA, CA 91006
Los Angeles County (626) 462-1884
THOMAS REY YAMAMOTO MD
Obstetrics & Gynecology
450 E HUNTINGTON DR
ARCADIA, CA 91006
Los Angeles County (626) 462-1884
DR. FERNANDA SALGADO MD
Dermatology
450 E HUNTINGTON DR
ARCADIA, CA 91006
Los Angeles County (626) 462-1884
DR. HAIG MANJIKIAN M.D.
Internal Medicine
450 E HUNTINGTON DR
ARCADIA, CA 91006
Los Angeles County (626) 462-1844
SALLY A. RAUCH R.D.
Dietitian, Registered
450 E HUNTINGTON DR
ARCADIA, CA 91006
Los Angeles County (626) 254-2183
INGRID CHEN M.D.
Internal Medicine
450 E HUNTINGTON DR
ARCADIA, CA 91006
Los Angeles County (626) 462-1884
SUSAN BERMOND PERRY R.N.
Registered Nurse (Diabetes Educator)
450 E HUNTINGTON DR
ARCADIA, CA 91006
Los Angeles County (626) 254-2181

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 Mariam Botros's NPI number?

The NPI number for Mariam Botros is 1619328457. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Mariam Botros located?

Mariam Botros practices at 450 E Huntington Dr, Arcadia, CA 91006. The listed phone number is (626) 462-1884.

What is Mariam Botros's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mariam Botros enrolled in Medicare?

Yes. Mariam Botros 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 organization bills Medicare for Mariam Botros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Botros reassigns Medicare benefits to Healthcare Partners Affiliates Medical Group (Los Angeles, CA). The 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 Mariam Botros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariam Botros was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.