Individual provider Active NPI

Tatyana Strumkovskaya Borisiak, MD

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1659579795
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100109 Issued in FL
Practice address
8251 W Broward Blvd
Suite 103
Plantation, FL 33324-2703
Phone
(954) 255-7310
Fax
(954) 255-7311
NPI assigned
Jul 10, 2007
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME100109 FL Primary

Addresses

Primary practice location

8251 W Broward Blvd
Suite 103
Plantation, FL 33324-2703

Mailing address

8251 W Broward Blvd
Suite 103
Plantation, FL 33324-2703
Phone (954) 255-7310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090120000287 FL Practitioner - Internal Medicine 6103989033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CCG of South Florida LLCGroup PAC ID 8022284173, 9 clinicians

Practice addresses (Care Compare)

2901 Coral Hills Dr
Suite 360
Coral Springs, FL 33065-4146
Phone (954) 255-7310

7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 721-2200

8201 W Broward Blvd
Westside Regional Medical Center
Plantation, FL 33324-2701
Phone (954) 476-3911

8251 W Broward Blvd
Plantation, FL 33324-2703
Phone (954) 255-7310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100109FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CCG of South Florida LLC Internal Medicine CurrentSince Oct 17, 2011 Accepting new patients
East Florida Hospitalists LLC Past Accepting new patients

Locations

2901 Coral Hills Dr
Ste 360
Coral Springs, FL 33065
Phone (954) 255-7310

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

8251 W Broward Blvd
Plantation, FL 33324
Phone (954) 255-7310

8251 W Broward Blvd
Ste 103
Plantation, FL 33324
Phone (954) 255-7310

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1659579795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD",
            "address_2": "SUITE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-255-7310",
            "fax_number": "954-255-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD",
            "address_2": "SUITE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-255-7310",
            "fax_number": "954-255-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORISIAK",
        "first_name": "TATYANA",
        "middle_name": "STRUMKOVSKAYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.