NPIMap

Individual provider Active NPI

Igor Borisov, MD

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1235134008
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40867 Issued in CO
Practice address
4500 E 9TH Ave
Ste 140
Denver, CO 80220-3920
Phone
(303) 394-2152
Fax
(303) 394-2496
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40867 CO Primary

Addresses

Primary practice location

4500 E 9TH Ave
Ste 140
Denver, CO 80220-3920

Mailing address

4500 E 9TH Ave
Ste 140
Denver, CO 80220-3920
Phone (303) 394-2152

Other identifiers 1

IdentifierTypeStateIssuer
20752016MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100201000796 CO Practitioner - Internal Medicine 6002705928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Ninth Avenue Internal Medicine LLCGroup PAC ID 5496644304, 2 clinicians

Practice addresses (Care Compare)

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

4500 E 9TH Ave
Suite 140
Denver, CO 80220-3920
Phone (303) 394-2152

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40867COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ninth Avenue Internal Medicine LLC CurrentSince Jul 15, 2003 Accepting new patients
Inpatient Consultants of Colorado PC Internal Medicine Past Accepting new patients
Inpatient Consultants of Colorado, PC Internal Medicine Past Accepting new patients

Locations

4500 E 9th Ave
Ste 140
Denver, CO 80220
Phone (303) 394-2152

Interoperability endpoints

  • Direct secure messaging: igorborisovmd@naim.allscriptsdirect.net

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.

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1235134008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "STE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203920",
            "telephone_number": "303-394-2152",
            "fax_number": "303-394-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "address_2": "STE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203920",
            "telephone_number": "303-394-2152",
            "fax_number": "303-394-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORISOV",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "40867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20752016",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.