NPI Details
Tina M Botelho, MD is an internal medicine in Mount Pleasant, SC with 24 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Tina M Botelho, MD NPI is 1023044245. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2001
The provider's business location address is:
550 LONG POINT RD # 100
MOUNT PLEASANT, SC
ZIP 29464-000
Phone: (843) 606-9199
Fax: (843) 718-2858
The NPI 1023044245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
The enumeration date for this NPI number is 6/23/2006 and was last updated on 4/15/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 25344 | SOUTH CAROLINA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | A913 | OTHER | SOUTH CAROLINA | TINA BOTELHO MD PTAN ASSOCIATED LEGACY INTERNAL MEDICINE LLC |
| 2 | P00202158 | OTHER | SOUTH CAROLINA | RR MEDICARE |
| 3 | P00802342 | OTHER | SOUTH CAROLINA | RR MEDICARE |
| 4 | 253442 | MEDICAID | SOUTH CAROLINA | |
| 5 | AA8570A913 | OTHER | SOUTH CAROLINA | LEGACY INTERNAL MEDICINE LLC--GROUP PTAN |
| 6 | 571020809012 | OTHER | SOUTH CAROLINA | BCBS SC |
| 7 | 571020809058 | OTHER | SOUTH CAROLINA | TRICARE SC |
