Individual provider Active NPI

Narasimha Rao Boorgu, M.D.

  • Nephrology Physician
  • Florence, AL
National Provider Identifier
1043218928
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
000008018 Issued in AL
Practice address
422 E Dr Hicks Blvd
Florence, AL 35630-5763
Phone
(256) 766-1401
Fax
(256) 766-1402
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000008018 AL
Nephrology Physician 207RN0300X 000008018 AL Primary

Addresses

Primary practice location

422 E Dr Hicks Blvd
Florence, AL 35630-5763

Mailing address

422 E Dr Hicks Blvd
Florence, AL 35630-5763
Phone (256) 766-1401

Other identifiers 4

IdentifierTypeStateIssuer
110126478OtherSCMEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
000000582MedicaidAL
CC6102OtherSCMEDICARE RAILROAD/PALMETTO GBA GROUP
529400760MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101026000173 AL Practitioner - NephrologyPractitioner - Internal Medicine 4688740756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8018ALMDPharmacist
000008018ALMDNephrology Physician

Practice roles (2 of 7)

OrganizationSpecialtyStatusNew patients
N Rao Boorgu MD PC Nephrology CurrentSince Nov 8, 1994 Accepting new patients
Good Samaritan Hospice USA Inc Past Accepting new patients

Locations

422 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 766-1401

422 E Dr Hicks Blvd
Ste A
Florence, AL 35630
Phone (205) 386-4087

422 E Dr Hicks Blvd
Ste B
Florence, AL 35630
Phone (256) 764-5050

1840 Darby Dr
Florence, AL 35630
Phone (256) 764-2313

712 State St
Muscle Shoals, AL 35661
Phone (256) 386-7028

14897 Highway 43
Russellville, AL 35653
Phone (256) 332-7044

1120 S Jackson Hwy
Ste 107
Sheffield, AL 35660
Phone (256) 381-8004

Networks

  • bcbs alabama network 01B0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01G0
  • bcbs alabama network 01H0

Interoperability endpoints

  • Direct secure messaging: narasimha.boorgu@skhc.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N Rao Boorgu MD PC 6 clinicians

Practice addresses (Care Compare)

422 E Dr Hicks Blvd
Suite a
Florence, AL 35630-5730
Phone (256) 766-1401

Hospital & facility affiliations

  • DaVita Florence Dialysis Dialysis facility, Florence, AL, CCN 012529
  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1043218928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305763",
            "telephone_number": "256-766-1401",
            "fax_number": "256-766-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305763",
            "telephone_number": "256-766-1401",
            "fax_number": "256-766-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORGU",
        "first_name": "NARASIMHA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "000008018",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "000008018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL",
            "identifier": "110126478",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000582",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD/PALMETTO GBA GROUP",
            "identifier": "CC6102",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529400760",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.