STEFAN BOTHA
NPI 1811583446
Physician Assistant in Tampa, FL
About Stefan Botha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEFAN BOTHA (NPI 1811583446) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9119631) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stefan Botha 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33611 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stefan Botha's NPI number?
The NPI number for Stefan Botha is 1811583446. It was assigned to this individual provider in the NPPES registry on December 17, 2020.
Where is Stefan Botha located?
Stefan Botha practices at 3301 W Gandy Blvd, Tampa, FL 33611. The listed phone number is (813) 925-1903.
What is Stefan Botha's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Stefan Botha enrolled in Medicare?
Yes. Stefan Botha 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.
What insurance does Stefan Botha accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross and Blue Shield of Texas and Oscar Health Maintenance Organization of Florida list Stefan Botha 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 Stefan Botha was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Stefan Botha · NPI 1811583446
Physician Assistant physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since December 17, 2020.
## Identity
- **NPI:** 1811583446 (Entity type: Individual)
- **Enumerated:** December 17, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA9119631 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3301 W GANDY BLVD, Tampa, FL 33611-2931
- **Phone:** (813) 925-1903 · **Fax:** (813) 749-8370
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 15, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1811583446) · Data from the CMS NPPES public registry.