Individual provider Active NPI

Viorel Boborodea, MD

  • Obstetrics & Gynecology Physician
  • Louisville, KY
National Provider Identifier
1225240682
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29482 Issued in KY
Practice address
12123 Shelbyville Rd, Ste 100 PMB 265
Louisville, KY 40243
Phone
(502) 489-7740
NPI assigned
May 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29482 KY
Adult Medicine Physician 207QA0505X 180194 NY
Obstetrics & Gynecology Physician 207V00000X 180194 NY
Obstetrics & Gynecology Physician 207V00000X 29482 KY Primary

Addresses

Primary practice location

12123 Shelbyville Rd, Ste 100 PMB 265
Louisville, KY 40243

Mailing address

12123 Shelbyville Rd, Ste 100-PMB 265
Louisville, KY 40243-1079
Phone (502) 489-7740

Other identifiers 1

IdentifierTypeStateIssuer
7100059790MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29482KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy-Center Inc PastSince Jan 12, 2020 Accepting new patients
First Stop Urgent Care Center PSC Family Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Emergency Coverage, LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: v.iorel.boborodea.1@15020.direct.athenahealth.com

Organizations & group practices 4

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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1225240682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12123 SHELBYVILLE RD, STE 100-PMB 265",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431079",
            "telephone_number": "502-489-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12123 SHELBYVILLE RD, STE 100 PMB 265",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40243",
            "telephone_number": "502-489-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBORODEA",
        "first_name": "VIOREL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-05",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "29482",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "180194",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "180194",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "29482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100059790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.