Individual provider Active NPI

Frank Boruch, M.D.

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1083734065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD5000 Issued in DC
Practice address
4460 Macarthur Blvd NW
Washington, DC 20007-2516
Phone
(202) 333-9355
NPI assigned
Mar 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD5000 DC Primary

Addresses

Primary practice location

4460 Macarthur Blvd NW
Washington, DC 20007-2516

Mailing address

PO Box 40618
Washington, DC 20016-0618
Phone (202) 362-1262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD5000DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Treatment Services,Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083734065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40618",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200160618",
            "telephone_number": "202-362-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 MACARTHUR BLVD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072516",
            "telephone_number": "202-333-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUCH",
        "first_name": "FRANK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD5000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.