Individual provider Active NPI

Isidro Borboa-Orduno, M.D.

  • Family Medicine Physician
  • Schenectady, NY
National Provider Identifier
1275913592
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
295740-01 Issued in NY
Practice address
1101 Nott St
Schenectady, NY 12308-2425
Phone
(518) 243-4135
Fax
(518) 243-1367
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 295740-01 NY
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 295740-01 NY Primary

Addresses

Primary practice location

1101 Nott St
Schenectady, NY 12308-2425

Mailing address

1101 Nott St
Schenectady, NY 12308-2425
Phone (518) 243-4135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181003001471 NY Practitioner - Family PracticePractitioner - Hospitalist 9234481219 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis HospitalGroup PAC ID 5890607410, shared by 2 NPIs, 250 clinicians

Practice addresses (Care Compare)

1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000

Hospital & facility affiliations

  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295740-01NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
MVHS Inc CurrentSince Jul 25, 2023 Accepting new patients
Ellis Hospital CurrentSince Feb 16, 2019 Accepting new patients
Ellis Hospital Family Medicine CurrentSince Feb 16, 2019 Accepting new patients
St. Peter'S Hospital of the City of Albany Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
St. Peter'S Hospital of the City of Albany Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
MVHS Inc Family Medicine CurrentSince Jul 25, 2023 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

624 McClellan St
Ste 101
Schenectady, NY 12304
Phone (518) 347-5043

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Interoperability endpoints

  • Direct secure messaging: iborboaorduno4598912@direct.trinity-health.org

Organizations & group practices 7

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275913592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-243-4135",
            "fax_number": "518-243-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-243-4135",
            "fax_number": "518-243-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORBOA-ORDUNO",
        "first_name": "ISIDRO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "295740-01",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "295740-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.