Active NPI
Narasimha Rao Boorgu, M.D.
- Nephrology Physician
- Florence, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 000008018
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110126478 | Other | SC | MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL |
| 000000582 | Medicaid | AL | |
| CC6102 | Other | SC | MEDICARE RAILROAD/PALMETTO GBA GROUP |
| 529400760 | Medicaid | AL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026000173 | AL | Practitioner - Nephrology | 4688740756 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8018 | AL | MD | Pharmacist |
| 000008018 | AL | MD | Nephrology Physician |
Practice roles (2 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N Rao Boorgu MD PC | Nephrology | Current | 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
- 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.
-
- Community Based Hospice Care Agency
- Florence, AL
- NPI 1396767224
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Florence, AL
- NPI 1457324220
Dialysis facility
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- N Rao Boorgu MD PC
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
- Helen Keller Hospital
- North Alabama Medical Center
- North Alabama Shoals Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.