Individual provider Active NPI

Ricardo D Borrego, M.D.

  • Anesthesiology Physician
  • Dearborn, MI
National Provider Identifier
1295776490
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301405559 Issued in MI
Practice address
18100 Oakwood Blvd
Suite 100
Dearborn, MI 48124-4071
Phone
(313) 253-2000
NPI assigned
Jun 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301405559 MI Primary

Addresses

Primary practice location

18100 Oakwood Blvd
Suite 100
Dearborn, MI 48124-4071

Mailing address

18100 Oakwood Blvd
Suite 100
Dearborn, MI 48124-4071
Phone (313) 253-2000

Other identifiers 1

IdentifierTypeStateIssuer
4370310OtherMIAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040129000511 MI Practitioner - Anesthesiology 9830092634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jawad a Shah MD PCGroup PAC ID 5799779633, 89 clinicians

Practice addresses (Care Compare)

21230 Dequindre Rd
Warren, MI 48091-2279
Phone (810) 275-9333

4800 S Saginaw St
Flint, MI 48507-2677

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Anesthesia PLLC CurrentSince Mar 18, 2019 Accepting new patients
Jawad a Shah MD PC CurrentSince Nov 15, 2023 Accepting new patients
Dearborn Surgery Center, LLC Current Accepting new patients
Jawad a Shah, MD PC CurrentSince Nov 15, 2023 Accepting new patients
Insight Anesthesia PLLC Anesthesiology CurrentSince Dec 1, 2020 Accepting new patients
Eagle Advancement Institute PastSince Jan 21, 2010 Accepting new patients
Novi Anesthesia Services PLC Anesthesiology Past Accepting new patients
Ambulatory Anesthesia Associates, PC Anesthesiology PastSince Oct 28, 2005 Accepting new patients

Locations

18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668

18100 Oakwood Blvd
Ste 203
Dearborn, MI 48124
Phone (313) 336-7400

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1840
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152

Organizations & group practices 8

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 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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295776490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244071",
            "telephone_number": "313-253-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244071",
            "telephone_number": "313-253-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREGO",
        "first_name": "RICARDO",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301405559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4370310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.