Active NPI
Paul A Bormes, MD
- Anesthesiology Physician
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 3420
- Practice address
- 350 Fairmont Blvd
Rapid City, SD 57701-5423 - Phone
- (605) 394-7010
- NPI assigned
- Mar 31, 2006
- Last updated
- Jan 23, 2012
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 3420 | SD | Primary |
Addresses
Primary practice location
350 Fairmont Blvd
Rapid City, SD 57701-5423
Mailing address
PO Box 7025
Amagansett, NY 11930-7025
Phone (888) 877-3850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- 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 Compare- Specialty
- Anesthesiology
- Education
- Sanford School of Medicine of University of South Dakota, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100
8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St. Luke's | Current | Accepting new patients | |
| Avera St. Lukes | Current | Accepting new patients | |
| Avera St. Luke's | Current | Accepting new patients | |
| West River Anesthesiology Consultants PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 5
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 Avera Internal Medicine Aberdeen
- Internal Medicine Physician
- Aberdeen, SD
- NPI 1215100813
-
- Anesthesiology Physician
- Rapid City, SD
- NPI 1962466755
-
dba Avera Medical Group Nephrology Aberdeen
- Nephrology Physician
- Aberdeen, SD
- NPI 1477594430
-
- Anesthesiology Physician
- Rapid City, SD
- NPI 1396775284
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, SD
- NPI 1457309270
-
dba Community Memorial Hospital
- Critical Access Hospital
- Redfield, SD
- NPI 1548232747
-
dba Community Memorial Hospital
- Critical Access Hospital
- Redfield, SD
- NPI 1871565853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1083675730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7025",
"city": "AMAGANSETT",
"state": "NY",
"postal_code": "119307025",
"telephone_number": "888-877-3850",
"fax_number": "631-329-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 FAIRMONT BLVD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577015423",
"telephone_number": "605-394-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORMES",
"first_name": "PAUL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SD",
"license": "3420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.