Kenneth Botelho, PA-C
NPI 1184977514 · Physician Assistant · East Providence, RI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Botelho, PA-C is a Physician Assistant provider in East Providence, RI (NPI 1184977514).
Provider details
- NPI number
- 1184977514
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 15285 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
679 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 342 | $99 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 67 | $14 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 61 | $12 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 56 | $76 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 52 | $71 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 103 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 229 | 90 |
| Levothyroxine Sodium | 204 | 70 |
| Omeprazole | 202 | 70 |
| Atorvastatin Calcium | 185 | 70 |
| Lisinopril | 164 | 70 |
| Losartan Potassium | 162 | 66 |
| Simvastatin | 134 |
Practice location
Mailing address
Additional practice locations (1)
- 4855 W Arrowhead RdHermantown, MN 55811-3936Phone: (218) 786-3540
Registry dates
- Enumerated
- 2012-10-23
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Frequently asked questions
- What is Kenneth Botelho's NPI number?
- Kenneth Botelho's National Provider Identifier (NPI) is 1184977514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Botelho's specialty?
- Kenneth Botelho is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Botelho located?
- Kenneth Botelho's practice location on file with NPPES is 450 Veterans Memorial Pkwy Bldg 9, East Providence, RI 02914-5300.
- What is Kenneth Botelho's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Botelho is (401) 435-5533.
- Does Kenneth Botelho accept Medicare?
- Kenneth Botelho is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Botelho's NPI active?
- Yes — Kenneth Botelho's NPI (1184977514) is active in the NPPES registry as of the last update on 2025-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.