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Dr. Marivic Dayrit Botta , MD

Pediatrics β€’ Trumbull, CT

Active NPI 1013055102 Individual Practitioner Female Practitioner
Practice location in NPPES

15 Corporate Dr
Trumbull, CT 066111351

Call 2034528322 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15 Corporate Dr

Trumbull, CT 066111351

Telephone 2034528322
Organization at the Same NPPES Address or Phone
Fairfield County Medical Group, Pc Facility NPI 1639195415

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2021

All general payments: $47.34 across 3 records.

By nature of payment

  • Food and Beverage: $47.34 across 3 records.

Reporting-company totals

  • Tris Pharma Inc: $47.34 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2021 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Trumbull and Connecticut

17 active clinicians are listed under Pediatrics with a practice address in Trumbull, CT (1,043 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Trumbull

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2021

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $47.34.

Manufacturer Payment Nature Product Type Amount ($)
Tris Pharma Inc
Food and Beverage
In-kind items and services
Quillivant General $19.97
Tris Pharma Inc
Food and Beverage
In-kind items and services
Quillivant General $15.48
Tris Pharma Inc
Food and Beverage
In-kind items and services
Quillivant General $11.89

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Tax Id#
061319954 (CT)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1154434173

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 18, 2024

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

πŸ“
Updated Business Mailing Address June 18, 2024

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

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

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

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

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

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as MARIVIC BOTTA, M.D.

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

Specialist (license number reported to NPPES: CT 045299)

🟒
Initial NPI Registration & Enumeration February 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.