DR. MAIKEL ELIA BOTROS MD NPI 1164712394

NPI Information

  • NPI: 1164712394
  • Provider Name: DR. MAIKEL ELIA BOTROS, MD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 907 E LAMAR ALEXANDER PKWY
    MARYVILLE, TN
    ZIP 37804
  • Phone: (865) 977-5534

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NPI Details

DR. Maikel Elia Botros, MD is a radiation oncology radiology in Maryville, TN with 14 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Maikel Elia Botros, MD NPI is 1164712394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN
ZIP 37804-015
Phone: (865) 977-5534
Fax: (865) 981-2154

The NPI 1164712394 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.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Complex radiation therapy planning (HCPCS:77263)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • High precision radiation therapy planning (HCPCS:77301)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • 3d radiation therapy planning (HCPCS:77295)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Special radiation treatment (HCPCS:77470)
  • Design and construction of simple radiation treatment device (HCPCS:77332)
  • Management of cranial lesion surgery using radiation over multiple sessions (HCPCS:77435)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Complex radiation therapy planning for delivery of external radiation (HCPCS:77307)

The enumeration date for this NPI number is 4/8/2011 and was last updated on 6/3/2020.

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
12085R0001XRadiologyRadiation Oncology56507TENNESSEEYes

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
1Q031884MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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