MARIANA MEJIA BOTERO M.D.
NPI 1679893374
Family Medicine in Paraje, NM
About Mariana Mejia Botero M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIANA MEJIA BOTERO M.D. (NPI 1679893374) is an individual family medicine provider in Paraje, New Mexico, licensed in New Mexico (MD2016-0719) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Mariana Mejia Botero M.d. 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
2Medicare enrollment records show Mariana Mejia Botero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paraje, NM 87007
- Reassigned Medicare billing, Texas enrollment
- 23 clinicians in this Medicare group
Thoreau, NM 87323
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Dhhs Phs Naihs Crownpoint Hospital
- 265 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARAJE, NM 87007
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 Mariana Mejia Botero's NPI number?
The NPI number for Mariana Mejia Botero is 1679893374. It was assigned to this individual provider in the NPPES registry on June 3, 2010.
Where is Mariana Mejia Botero located?
Mariana Mejia Botero practices at 6 Basswood Rd, Paraje, NM 87007. The listed phone number is (505) 431-0711.
What is Mariana Mejia Botero's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mariana Mejia Botero enrolled in Medicare?
Yes. Mariana Mejia Botero 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 Mariana Mejia Botero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariana Mejia Botero reassigns Medicare benefits to 2 organizations: Laguna Healthcare Corporation (Paraje, NM) and Thoreau Clinic (Thoreau, NM). 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 Mariana Mejia Botero'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 Mariana Mejia Botero was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mariana Mejia Botero, M.D. · NPI 1679893374
Family Medicine physician in Paraje, New Mexico. Individual provider, active in the CMS NPPES registry since June 3, 2010.
## Identity
- **NPI:** 1679893374 (Entity type: Individual)
- **Enumerated:** June 3, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD2016-0719 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 BASSWOOD RD, Paraje, NM 87007-1004
- **Phone:** (505) 431-0711
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Laguna Healthcare Corporation (NPI 1962001024, Paraje, NM); Thoreau Clinic (NPI 1679516702, Thoreau, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** April 19, 2021
- **Other identifiers:** Medicaid 78721016 (NM); Medicaid H3451 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1679893374) · Data from the CMS NPPES public registry.