Active NPI
Elena Borrelli, PA-C
- Physician Assistant
- Shelby Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601005627
- Practice address
- 13719 23 Mile Rd # 146
Shelby Township, MI 48315-2907 - Phone
- (248) 266-1355
- NPI assigned
- Sep 11, 2009
- Last updated
- Dec 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601005627 | MI | Primary |
| Surgical Physician Assistant | 363AS0400X | 5601005627 | MI |
Addresses
Primary practice location
13719 23 Mile Rd # 146
Shelby Township, MI 48315-2907
Mailing address
13719 23 Mile Rd
Ste 146
Shelby Township, MI 48315-2907
Phone (586) 212-6915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12024128 | Other | MI | CAQH |
Other names 1
- Elena Amato
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 W Oakton St
Arlington Heights, IL 60004-4602
Phone (947) 368-7315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601005627 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Online Urgent Care P.L.L.C. | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Physician Assistant | Current | Accepting new patients |
| Theoria Medical | Physician Assistant | Past | Accepting new patients |
| Wellbridge of Clarkston, LLC | Past | Accepting new patients |
Locations
207 Hospital Dr NE
Fort Walton Beach, FL 32548
Phone (850) 833-9165
471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550
6301 Lincoln Hwy
Matteson, IL 60443
Phone (708) 401-4400
2 Annable Ct
Sauget, IL 62206
Phone (314) 842-1900
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
13719 23 Mile Rd
Shelby Township, MI 48315
Phone (248) 266-1355
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1114441565
-
- Internal Medicine Physician
- Novi, MI
- NPI 1528851607
FL, IL, Physician Assistant
-
- Urgent Care Clinic/Center
- Shelby Township, MI
- NPI 1063180842
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1013425479
-
dba Theoria Primary Care
- Internal Medicine Physician
- Brighton, MI
- NPI 1164186946
Physician Assistant
-
- Skilled Nursing Facility
- Independence Township, MI
- NPI 1669965299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1518290337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13719 23 MILE RD",
"address_2": "STE 146",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483152907",
"telephone_number": "586-212-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13719 23 MILE RD # 146",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483152907",
"telephone_number": "248-266-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORRELLI",
"first_name": "ELENA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601005627",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MI",
"license": "5601005627",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12024128",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELENA",
"last_name": "AMATO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.