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

Dr. Robert Kingsbury Botta, MD

Individual provider Vascular Surgery Physician · NPI 1780094326

Dr. Robert Kingsbury Botta, MD is a Vascular Surgery in Watertown, Connecticut. Graduated from University of Connecticut School of Medicine in 2014, 12 years ago. Practices with Southern Connecticut Vascular Center LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Trained at
University of Connecticut School of Medicine
Licensed in
CT
In the registry since
2014
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

595 Straits Tpke Unit 2
Watertown, CT 06795-3356
Phone: (203) 262-9979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 64159 (CT)

Record details

NPI number1780094326
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 5, 2014
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Southern Connecticut Vascular Center Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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