Individual provider Active NPI

Roya Borjian, MD

  • Internal Medicine Physician
  • North Miami, FL
National Provider Identifier
1033120084
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME89617 Issued in FL
Practice address
527 NE 124TH St
North Miami, FL 33161-5423
Phone
(305) 895-9233
Fax
(305) 895-9274
NPI assigned
Aug 11, 2006
Last updated
May 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME89617 FL Primary

Addresses

Primary practice location

527 NE 124TH St
North Miami, FL 33161-5423

Mailing address

527 NE 124TH St
North Miami, FL 33161-5423
Phone (305) 895-9233

Other identifiers 1

IdentifierTypeStateIssuer
272130900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000907 FL Practitioner - Internal Medicine 6709829047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hamidreza Moghaddam MD PA Internal Medicine CurrentSince Jan 19, 2016 Accepting new patients

Locations

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

527 NE 124th St
North Miami, FL 33161
Phone (305) 891-0045

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1033120084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 NE 124TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615423",
            "telephone_number": "305-895-9233",
            "fax_number": "305-895-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 NE 124TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615423",
            "telephone_number": "305-895-9233",
            "fax_number": "305-895-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORJIAN",
        "first_name": "ROYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272130900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.