Active NPI
Daniel Robert Borcherdt, DO, MA
- Emergency Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4483
- Practice address
- 5100 W Broad St
Columbus, OH 43228-1607 - Phone
- (614) 544-1000
- Fax
- (614) 544-1751
- NPI assigned
- Feb 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 58.005460 | OH | |
| Emergency Medicine Physician | 207P00000X | 02005293A | IN | |
| Emergency Medicine Physician | 207P00000X | 4483 | TN | Primary |
Addresses
Primary practice location
5100 W Broad St
Columbus, OH 43228-1607
Mailing address
5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Hospital & facility affiliations
- Franklin Woods Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 83.8
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4483 | TN | MD | Dentist |
| 02005293A | IN | MD | Emergency Medicine Physician |
| 58.005460 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tri-Cities Observation Services, PC | Emergency Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current | Accepting new patients |
| Innovative Hospital Care, LLC | Past | Accepting new patients |
Locations
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
800 S Mohawk Dr
Ste C
Erwin, TN 37650
Phone (423) 330-6177
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1154860146
-
- Internal Medicine Physician
- Erwin, TN
- NPI 1538989371
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1922374172
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1346665684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281607",
"telephone_number": "614-544-1000",
"fax_number": "614-544-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281607",
"telephone_number": "614-544-1000",
"fax_number": "614-544-1751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORCHERDT",
"first_name": "DANIEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DO, MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-24",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "58.005460",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02005293A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "4483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.