Individual provider Active NPI

Anne Elizabeth Borwick, D.O.

  • Adolescent Medicine (Internal Medicine) Physician
  • Fairview Heights, IL
National Provider Identifier
1326032046
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
336070055 Issued in IL
Practice address
16 Executive Dr Ste 100
Fairview Heights, IL 62208-1366
Phone
(618) 622-9073
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 336070055 IL Primary

Addresses

Primary practice location

16 Executive Dr Ste 100
Fairview Heights, IL 62208-1366

Mailing address

201 Health Care Dr
Greenville, IL 62246-1155
Phone (618) 664-1380

Other practice location 1

201 Health Care Dr
Greenville, IL 62246-1155
Phone (618) 664-1380

Other practice location 2

1801 Park 270 Dr Ste 150
Saint Louis, MO 63146-4038
Phone (314) 682-3400

Other identifiers 1

IdentifierTypeStateIssuer
036109051MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041104000252 IL Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 2769445469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336070055ILMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Jan 3, 2026 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jan 3, 2026 Accepting new patients
Macoupin Physician Services, PC CurrentSince Nov 1, 2021 Accepting new patients
Vitas Healthcare Corporation Midwest PastSince May 10, 2019 Accepting new patients

Locations

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1326032046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461155",
            "telephone_number": "618-664-1380",
            "fax_number": "618-664-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 EXECUTIVE DR STE 100",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081366",
            "telephone_number": "618-622-9073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "IL",
            "postal_code": "622461155",
            "country_code": "US",
            "telephone_number": "618-664-1380",
            "fax_number": "618-664-4239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Park 270 Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631464038",
            "country_code": "US",
            "telephone_number": "314-682-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORWICK",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "IL",
            "license": "336070055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109051",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

Verify at the official NPI Registry.