Donato J Borrillo, M.D.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

35062153 Issued in OH

Practice address

615 Johnnie Dodds Blvd Ste 102
Mount Pleasant, SC 29464-3082

Phone

(843) 936-6451

Fax

(843) 936-6451

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MI, OH, FL3 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: donato.borrillo.1@20880.direct.athenahealth.com
• Direct secure messaging: donato.borrillo.1@14940.direct.athenahealth.com

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.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083

  Family Medicine, OH

  Medicare reassignment NPD
• American Current Care PA

  • Urgent Care Clinic/Center
  • Pinecrest, FL
  • NPI 1770719296

  FL

  Medicare reassignment NPD
• Catholic Charities of Ingham, Eaton and Clinton Counties

  • General Practice Physician
  • Lansing, MI
  • NPI 1407800931

  MI

  Medicare reassignment NPD
• Comprehensive Primary Care and Behavioral Health LLC

  • General Practice Physician
  • Chagrin Falls, OH
  • NPI 1730634411

  OH

  Medicare reassignment NPD
• Ohio Living Palliative Care Greater Toledo LLC

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1861981656

  Family Medicine, OH

  Medicare reassignment NPD
• American Current Care P.a.

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• American Current Care PA

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1730368366
  NPD
• Bixby Hospital

  • Clinical Medical Laboratory
  • Adrian, MI
  • NPI 1407275696
  NPD (past)
• Cristo Rey Community Center

  • Addiction (Substance Use Disorder) Counselor
  • Lansing, MI
  • NPI 1700901964
  NPD (past)
• Emma L. Bixby Medical Center

  • General Acute Care Hospital
  • Adrian, MI
  • NPI 1972564730
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mobile Primary Care Family Nurse Practitioners, PLLC

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1669673349
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1104822170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 AIRPORT HWY",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435589374",
            "telephone_number": "419-466-5512",
            "fax_number": "419-710-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 JOHNNIE DODDS BLVD STE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643082",
            "telephone_number": "843-936-6451",
            "fax_number": "843-936-6451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Jacqueline Ct",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "OH",
            "postal_code": "435288491",
            "country_code": "US",
            "telephone_number": "419-466-5512",
            "fax_number": "419-710-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORRILLO",
        "first_name": "DONATO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "40559",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "OH",
            "license": "35062153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM COMMERICAL",
            "identifier": "000000212144",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO RAILROAD MEDICARE",
            "identifier": "840000277",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MEDICAID",
            "identifier": "000000212144",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI MEDICAID",
            "identifier": "0847454",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0847454",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Bonning, RN
• Samantha Booth, DPT
• Anna Borden, D.D.S.
• Kristine Marie Born, MA
• Madison Borowy
• Brett Boselowitz
• Laura Ellen Boselowitz
• Isabel K Bosso, DPT
• Eddie T Bostic
• Dianna Lynne Boston, BCABA

• All providers in Mount Pleasant, SC
• Aerospace Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.