Individual provider Active NPI

Dorota Borkiewicz, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1497180707
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2313806 Issued in MA
Practice address
10 Andrew SQ Ste 102
Boston, MA 02127-3037
Phone
(176) 313-7360
Fax
(617) 404-2097
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2313806 MA Primary

Addresses

Primary practice location

10 Andrew SQ Ste 102
Boston, MA 02127-3037

Mailing address

10 Andrew SQ Ste 102
Boston, MA 02127-3037
Phone (617) 313-7360

Other names 1

  • Dorota Kukla Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218000476 MA Practitioner - Nurse Practitioner 4789929845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Andrew SQ
Suite 102
South Boston, MA 02127-3037
Phone (617) 313-7360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wholesome Psychiatry, LLC CurrentSince Apr 15, 2021 Accepting new patients

Locations

10 Andrew Sq
Ste 201B
South Boston, MA 02127
Phone (617) 313-7360

Organizations & group practices 1

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": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1497180707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ANDREW SQ STE 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021273037",
            "telephone_number": "617-313-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ANDREW SQ STE 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021273037",
            "telephone_number": "176-313-7360",
            "fax_number": "617-404-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKIEWICZ",
        "first_name": "DOROTA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2313806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTA",
            "last_name": "KUKLA",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.