Active NPI
Michael Dean O'Borsky, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Buffalo, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 517
- Practice address
- 1700 Highway 25 N
Buffalo, MN 55313-1930 - Phone
- (763) 682-1313
- Fax
- (763) 271-3807
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 517 | MN | Primary |
Addresses
Primary practice location
1700 Highway 25 N
Buffalo, MN 55313-1930
Mailing address
1700 Highway 25 N
Buffalo, MN 55313-1930
Phone (763) 682-1313
Other practice location 1
105 Center Dr
Buffalo, MN 55313-2956
Phone (763) 682-9433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053477406 | Medicaid | MN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | moborsky93468@direct.northmemorial.com | ||
| Direct Messaging Address | moborsky93468@direct.northmemorial.com | ||
| Direct Messaging Address | moborsky93468@direct.northmemorial.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Hwy 25 N
Buffalo, MN 55313-1930
Phone (763) 682-1313
1907 Wayzata Blvd
FL 3
Wayzata, MN 55391-2017
Phone (888) 964-6681
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 78 |
| Removal of nail tissue | 48 |
| Removal or shaving of skin growth | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517 | MN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellis Health, PA | Current | Accepting new patients | |
| In House Senior Services, LLC | Current | Accepting new patients | |
| Stellis Health, PA | Current | Accepting new patients | |
| Active Feet, Foot & Ankle Health Center | Foot & Ankle Surgery | Current | Accepting new patients |
| Active Feet , Foot & Ankle Health Center | Foot & Ankle Surgery | Current | Accepting new patients |
| St Cloud Foot & Ankle Center PA | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
11091 Jason Ave NE
Albertville, MN 55301
Phone (763) 315-5000
1700 Highway 25 N
Hanover, MN 55313
Phone (763) 682-1313
1001 Hart Blvd
Ste 100
Monticello, MN 55362
Phone (763) 295-2921
6625 Lyndale Ave S
Ste 105
Richfield, MN 55423
Phone (612) 200-8029
6625 Lyndale Ave S
Ste 300
Richfield, MN 55423
Phone (612) 243-8999
Interoperability endpoints
- moborsky93468@direct.northmemorial.com
- https://api.platform.athenahealth.com/14770/brand/1/csg/1/fhir/r4
- moborsky376683@direct.centracare.com
Organizations & group practices 7
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.
-
dba Buffalo Clinic, Monticello Clinic, Albertville/St.Michael Clinic,
- Multi-Specialty Clinic/Center
- Buffalo, MN
- NPI 1184664674
-
dba HealthDrive Podiatry Group
- Podiatrist
- Dublin, OH
- NPI 1689613598
MN
-
dba Midwest Podiatry Centers
- Primary Podiatric Medicine Podiatrist
- Minneapolis, MN
- NPI 1689848392
Foot & Ankle Surgery
-
- Primary Podiatric Medicine Podiatrist
- Richfield, MN
- NPI 1083962294
-
dba Midwest Podiatry Center St. Anthony
- Foot & Ankle Surgery Podiatrist
- Minneapolis, MN
- NPI 1164716387
-
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1013103050
-
- Podiatric Clinic/Center
- Saint Cloud, MN
- NPI 1083675458
Foot & Ankle Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CentraCare Health - Monticello Hospital
- Critical Access Hospital
- Monticello, MN
- NPI 1275872772
-
dba CentraCare - Monticello Specialty Clinic
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1558600874
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053477406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 HIGHWAY 25 N",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131930",
"telephone_number": "763-682-1313",
"fax_number": "763-581-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HIGHWAY 25 N",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131930",
"telephone_number": "763-682-1313",
"fax_number": "763-271-3807"
}
],
"practiceLocations": [
{
"address_1": "105 Center Dr",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "MN",
"postal_code": "553132956",
"country_code": "US",
"telephone_number": "763-682-9433",
"fax_number": "763-684-8055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BORSKY",
"first_name": "MICHAEL",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2022-07-21",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MN",
"license": "517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053477406",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "moborsky93468@direct.northmemorial.com",
"affiliation": "N",
"address_1": "1700 Highway 25 N",
"city": "Buffalo",
"state": "MN",
"country_code": "US",
"postal_code": "553131930",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "moborsky93468@direct.northmemorial.com",
"affiliation": "N",
"address_1": "1001 Hart Blvd Ste 100",
"city": "Monticello",
"state": "MN",
"country_code": "US",
"postal_code": "553628929",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "moborsky93468@direct.northmemorial.com",
"affiliation": "N",
"address_1": "11091 Jason Ave NE",
"city": "Albertville",
"state": "MN",
"country_code": "US",
"postal_code": "553014699",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.