DR. DENNIS D BOTELHO (MD) – Internal Medicine Physician, NPI 1639166655
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,165 INTERNAL MEDICINE in RI
Provider Addresses for DR. DENNIS D BOTELHO (MD)
Cranston Medical Labs, 725, Reservoir Avenue, Cranston, Providence County, Rhode Island, 02920, United States
STE 6A
CRANSTON, RI 029104450
Phone: (401) 444-6779
Fax: (401) 444-6912
Type: Mailing
725 RESERVOIR AVE STE 6A
CRANSTON, RI 029104450
Phone: (401) 942-2320
Fax: (401) 942-2375
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 210 Open Payments records for all available years, with a total value of $4,424.
Total Amount is formed as General ($4,424) + Research ($0) + Ownership ($0) = $4,424.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($587).
Total Amount
$4,424
General + Research + Ownership
Payments
210
Total payment records
General Amount
$4,424
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $587 |
| Novo Nordisk Inc | $539 |
| Abbott Laboratories | $406 |
| Lilly USA, LLC | $394 |
| AstraZeneca Pharmaceuticals LP | $248 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-20
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050420001273 | I | Internal Medicine | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 399 | 176 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 133 | 133 | $0 |
| G0009 | Administration of pneumococcal vaccine | 117 | 117 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 103 | 103 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 76 | 74 | $0 |
Insurance plans in this area (ZIP 02910)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NE | |
| - | RI | |
| General Surgery | RI | |
| Family Practice | OH | |
| - | RI | |
| Internal Medicine, Gastroenterology | RI | |
| Physician Assistant | CT | |
| Nurse Practitioner | RI | |
| Family Practice | CT | |
| - | RI |
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