Individual provider Active NPI

Aimee P Borazanci, M.D.

  • Neurology Physician
  • Tulsa, OK
National Provider Identifier
1053522847
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
47832 Issued in AZ
Practice address
10109 E 79TH St
Tulsa, OK 74133-4564
Phone
(918) 233-9550
Fax
(918) 216-8094
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 47832 AZ Primary

Addresses

Primary practice location

10109 E 79TH St
Tulsa, OK 74133-4564

Mailing address

6120 S Yale Ave Ste 1210
Tulsa, OK 74136-4234

Other identifiers 3

IdentifierTypeStateIssuer
835540MedicaidAZ
200957980AMedicaidOK
47832OtherAZMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OK, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240924000170 IN Practitioner - Neurology 1850422197 Reassigns benefits to 1 organization
I20250128002244 OK Practitioner - Neurology 1850422197 Reassigns benefits to 1 organization
I20250225000512 TX Practitioner - Neurology 1850422197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424

328 N 2ND St
Vincennes, IN 47591-1351
Phone (812) 882-3312

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47832AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital CurrentSince Aug 1, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 23, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 24, 2025 Accepting new patients
Good Samaritan Hospital Physician Services, Inc CurrentSince Aug 1, 2024 Accepting new patients
Regional Brain Institute PLLC Neurology CurrentSince Jun 8, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 23, 2025 Accepting new patients
Dignity Health Past Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

328 N 2nd St
Vincennes, IN 47591
Phone (812) 882-3312

328 N 2nd St
Ste 307
Vincennes, IN 47591
Phone (812) 882-1000

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

328 N 2nd St
Ste 301
Vincennes, IN 47591
Phone (812) 885-6850

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

6120 S Yale Ave
Ste 1210
Tulsa, OK 74136
Phone (918) 885-2118

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: aborazanci500553@direct.deaconess.com
  • Direct secure messaging: aborazanci23396@muscogeecreeknation.direct-ci.com

Organizations & group practices 10

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1053522847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 S YALE AVE STE 1210",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364234",
            "fax_number": "918-888-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334564",
            "telephone_number": "918-233-9550",
            "fax_number": "918-216-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAZANCI",
        "first_name": "AIMEE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "47832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "835540",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200957980A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "47832",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.