KATHERINE A BOBOTIS (P.A.) – Physician Assistant, NPI 1144439431

KATHERINE A BOBOTIS (P.A.) is a healthcare provider. based in Addison, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA9102214 (FL). The NPI Number for KATHERINE A BOBOTIS (P.A.) is 1144439431

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE A BOBOTIS (P.A.)
NPI
1144439431
Phone
(972) 364-8000
Address
5080 SPECTRUM DR
Enumeration Date
22 May 2007
Last Update Date
18 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9412496858
Graduation Year
2002 (24 years ago)
PAC ID
1850430737
Group Practice PAC ID
8426413931
Professional Enrollment ID
I20091207000187
Address ID
FL339912057CA322XXRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for KATHERINE A BOBOTIS (P.A.)

  • Spectrum Center II, 5080, Spectrum Drive, Addison, Dallas County, Texas, 75001, United States

    SUITE 1200 WEST

    ADDISON, TX 750014648

    Phone: (972) 364-8000

    Fax: (214) 775-4502

    Type: Mailing

  • 4850, West Oakland Park Boulevard, Lauderdale Lakes, Broward County, Florida, 33313, United States

    SUITE 257

    LAUDERDALE LAKES, FL 333137260

    Phone: (615) 778-4066

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-12-07

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091207000187IPhysician AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 75001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426413931View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineTX
Family PracticeGA
Family PracticeCA
Nurse PractitionerFL
Emergency MedicinePA
Emergency MedicineFL
Nurse PractitionerMA
Emergency MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm KATHERINE A BOBOTIS (P.A.)'s NPI?
Yes. KATHERINE A BOBOTIS (P.A.) is listed with NPI 1144439431 in the public NPI dataset.
Can I rely on KATHERINE A BOBOTIS (P.A.) being an active provider?
As of the registry snapshot, KATHERINE A BOBOTIS (P.A.) is marked active.
What healthcare role does KATHERINE A BOBOTIS (P.A.) hold?
Scheduling teams often label KATHERINE A BOBOTIS (P.A.) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KATHERINE A BOBOTIS (P.A.) list a practice location?
Patients near Addison, Texas may find KATHERINE A BOBOTIS (P.A.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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