Active NPI
Douglas Borgo, MD
- Emergency Medicine Physician
- Montrose, CO
National Provider Identifier
1063420727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- CO40243
- Practice address
- 800 S 3Rd St
Montrose, CO 81401-4212 - Phone
- (970) 240-2211
- Fax
- (970) 240-7791
- NPI assigned
- Aug 4, 2006
- Last updated
- Apr 18, 2008
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | CO40243 | CO | Primary |
Addresses
Primary practice location
800 S 3Rd St
Montrose, CO 81401-4212
Mailing address
800 S 3Rd St
Montrose, CO 81401-4212
Phone (970) 240-2211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M0654234 | Other | CO | BLUE CROSS BLUE SHIELD |
| 86182749 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.89 of 100
- Quality
- 86.88
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO40243 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montrose Memorial Hospital, Inc | Current | Accepting new patients | |
| Montrose Memorial Hospital, Inc | Current | Accepting new patients | |
| Montrose Memorial Hospital, Inc | Emergency Medicine | Current | Accepting new patients |
Locations
800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211
Organizations & group practices 3
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 Montrose Regional Health
- Emergency Medicine Physician
- Montrose, CO
- NPI 1528083771
-
- Diagnostic Radiology Physician
- Montrose, CO
- NPI 1225866767
-
- Diagnostic Radiology Physician
- Montrose, CO
- NPI 1437997947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1063420727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S 3RD ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014212",
"telephone_number": "970-240-2211",
"fax_number": "970-240-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S 3RD ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014212",
"telephone_number": "970-240-2211",
"fax_number": "970-240-7791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGO",
"first_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "CO40243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M0654234",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86182749",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.