Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Raoul Rudolph Botha, MD

Individual provider Internal Medicine Physician · NPI 1003518754

Dr. Raoul Rudolph Botha, MD is a Hospitalist in Largo, Florida. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 14th St SW
Largo, FL 33770-3133
Phone: (727) 588-5704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 — (208) 625-6900

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4271195 (ID)
Hospitalist Physician Taxonomy 208M00000X · Licence 4271195 (ID)

Record details

NPI number1003518754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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