Individual provider Active NPI

Joseph S. Borruso Jr., D.O.

  • Orthopaedic Surgery Physician
  • Concord TWP, OH
National Provider Identifier
1689804270
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
3411267 Issued in OH
Practice address
7551 Fredle Dr
Concord TWP, OH 44077-9406
Phone
(440) 350-9595
Fax
(440) 357-1905
NPI assigned
Jul 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OT013106 PA
Orthopaedic Surgery Physician 207X00000X 3411267 OH Primary

Addresses

Primary practice location

7551 Fredle Dr
Concord TWP, OH 44077-9406

Mailing address

7551 Fredle Dr
Concord TWP, OH 44077-9406
Phone (440) 350-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140702001088 OH Practitioner - Orthopedic Surgery 9931324167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Nova Southeastern College of Osteo Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Medical Services LLCGroup PAC ID 9032297627, 106 clinicians

Practice addresses (Care Compare)

3727 Friendsville Rd
Unit 5
Wooster, OH 44691-7131
Phone (330) 202-3420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
59.24
Promoting interoperability
99
Improvement activities
40
Cost
78.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3411267OHMDOrthopaedic Surgery Physician
OT013106PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Medical Services LLC CurrentSince Jan 14, 2019 Accepting new patients

Locations

3727 Friendsville Rd
Unit 6
Wooster, OH 44691
Phone (330) 263-8360

3727 Friendsville Rd
Unit 5
Wooster, OH 44691
Phone (330) 202-3420

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Interoperability endpoints

  • Direct secure messaging: joseph.borruso@bloomingtonmedical.medicity.net

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.

Hospital & facility affiliations 2

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": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1689804270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 FREDLE DR",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-350-9595",
            "fax_number": "440-357-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 FREDLE DR",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-350-9595",
            "fax_number": "440-357-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRUSO",
        "first_name": "JOSEPH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT013106",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "3411267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord TWP, OH

Sources for this page

Verify at the official NPI Registry.