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PAUL DEVINE BOTTONE M.D.
NPI 1659719748
Pediatrics - Adolescent Medicine in Philadelphia, PA

Active since June 11, 2013PECOS Enrolled
3401 CIVIC CENTER BLVD, DIVISION OF ADOLESCENT MEDICINE, PHILADELPHIA, PA 19104(215) 590-1190(215) 590-4668 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2023, Jun 26, 2020, Jul 11, 2016 (3 updates tracked since 2016).

About Paul Devine Bottone M.d. NPPES

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

PAUL DEVINE BOTTONE M.D. (NPI 1659719748) is an individual adolescent medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT219847) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659719748
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NamePAUL DEVINE BOTTONECredential: M.D.
Location Address3401 CIVIC CENTER BLVD, DIVISION OF ADOLESCENT MEDICINEPhiladelphia, PA 19104
Mailing Address3401 Civic Center Blvd Ste M975Philadelphia, PA 19104-4319
Phone(215) 590-1190
Fax(215) 590-4668
Sole ProprietorNo
Enumeration DateJune 11, 2013
Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1659719748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in PA · MT219847
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 036.140820 (IL)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Devine Bottone M.d. 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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Paul Bottone's NPI number?

The NPI number for Paul Bottone is 1659719748. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Paul Bottone located?

Paul Bottone practices at 3401 Civic Center Blvd Division Of Adolescent Medicine, Philadelphia, PA 19104. The listed phone number is (215) 590-1190.

What is Paul Bottone's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Paul Bottone enrolled in Medicare?

Yes. Paul Bottone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Bottone was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.