Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013055102 Individual Practitioner Female Practitioner

Dr. Marivic Dayrit Botta , MD

Pediatrics • Trumbull, CT

Professional Overview & Biography Verified Profile Summary

Dr. Marivic Botta, MD is a registered healthcare professional specializing in Pediatrics in Trumbull, CT. Practice services are available at 15 CORPORATE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15 Corporate Dr

Trumbull, CT 066111351

Telephone 2034528322
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Trumbull, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Trumbull, CT (1087 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CT 045299

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Specialist

NUCC Taxonomy Code: 174400000X

State License CT 045299

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Id#
061319954 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Miranda Vincent , APRN

Nurse Practitioner - Pediatrics

NPI 1003063884

Advanced Practice Registered Nurse

Jacqueline Gambeski , NP

Nurse Practitioner - Family

NPI 1023521218

Nurse Practitioner

NPI 1043323942

Doctor of Medicine (M.D.)

Karalee Pino , FNP-BC

Nurse Practitioner - Pediatrics

NPI 1104242536

Family Nurse Practitioner (Board Certified)

NPI 1124031752

Doctor of Medicine (M.D.)

NPI 1134232143

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 18, 2024

Registered at 15 CORPORATE DR, TRUMBULL, CT 066111351 (Tel: 2034528322)

📍
Updated Business Mailing Address June 18, 2024

Registered at 100 BEARD SAWMILL RD, SHELTON, CT 064846150 (Tel: 2034528322)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3180 MAIN ST, SUITE G-1, BRIDGEPORT, CT 066064237 (Tel: 2033717111)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3180 MAIN ST, SUITE G-1, BRIDGEPORT, CT 066064237 (Tel: 2033717111)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARIVIC BOTTA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #045299 in CT)

🟢
Initial NPI Registration & Enumeration February 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Marivic Botta. Be the first to share your experience!

Sign in to leave a review for Dr. Marivic Botta

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013055102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2007
Last Update: June 18, 2024
Sole Proprietor: No

Mailing Address

100 Beard Sawmill Rd

Shelton, CT 064846150

Phone: 2034528322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.