NPIMap

Individual provider Active NPI

Joseph Samuel Borus, MD

  • Pediatrics Physician
  • South Euclid, OH
National Provider Identifier
1316938137
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.084397 Issued in OH
Practice address
1611 S Green Rd
Suite 035
South Euclid, OH 44121-4128
Phone
(216) 382-3800
NPI assigned
Nov 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.084397 OH Primary

Addresses

Primary practice location

1611 S Green Rd
Suite 035
South Euclid, OH 44121-4128

Mailing address

1611 South Green Road
Suite 035
South Euclid, OH 44121
Phone (216) 382-3800

Other identifiers 1

IdentifierTypeStateIssuer
2502456MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address josephborus@uhps.allscriptsdirect.net

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.084397OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Research Foundation of Cleveland Pediatrics Past Accepting new patients
University Psychiatrists of Cleveland, Inc. Past Accepting new patients
Green Road Pediatrics, Inc. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jborus35996@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1316938137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SOUTH GREEN ROAD",
            "address_2": "SUITE 035",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-382-3800",
            "fax_number": "216-381-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD",
            "address_2": "SUITE 035",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214128",
            "telephone_number": "216-382-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUS",
        "first_name": "JOSEPH",
        "middle_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.084397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502456",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josephborus@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1611 S Green Rd",
            "address_2": "Suite 035",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.