NPIMap

Individual provider Active NPI

Zachary A Borus, MD

  • Family Medicine Physician
  • Spirit Lake, IA
National Provider Identifier
1164666277
Registry record updated Feb 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41288 Issued in IA
Practice address
2700 23Rd St
Spirit Lake, IA 51360-1158
Phone
(712) 336-2410
NPI assigned
Apr 21, 2009
Last updated
Feb 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 260262 NY
Family Medicine Physician 207Q00000X 41288 IA Primary

Addresses

Primary practice location

2700 23Rd St
Spirit Lake, IA 51360-1158

Mailing address

2700 23Rd St
Spirit Lake, IA 51360-1158
Phone (712) 336-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140522000604 IA Practitioner - Family Practice 2567618796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Rochester School of Medicine and Dentistry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakes Regional HealthcareGroup PAC ID 0941118442, 37 clinicians

Practice addresses (Care Compare)

2301 Hwy 71
Spirit Lake, IA 51360-1184

2301 Hwy 71
Spirit Lake, IA 51360-1253
Phone (712) 336-1230

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions24
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41288IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Healthcare Current Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Lakes Regional Healthcare Past Accepting new patients

Locations

2301 Highway 71
Spirit Lake, IA 51360
Phone (712) 336-3750

2301 Highway 71
Ste C
Spirit Lake, IA 51360
Phone (712) 330-3750

Interoperability endpoints

  • Direct secure messaging: zachary.borus@avera.sdhealthlink.net

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.

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391904000000",
    "number": "1164666277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 23RD ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601158",
            "telephone_number": "712-336-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 23RD ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601158",
            "telephone_number": "712-336-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUS",
        "first_name": "ZACHARY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2014-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "260262",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "41288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

Verify at the official NPI Registry.