Kenneth Borkowski, D.O.
Individual provider Active NPI Obstetrics & Gynecology Physician · Enfield, CT
NPI 1730102260 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1730102260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 044130 (CT)
- Practice address
- 170 Hazard Ave
Enfield, CT 06082-4520 - Phone
- (860) 763-4001
- Fax
- (860) 749-5592
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of New England, College of Osteo Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians for Women'S Health, LLC
Trinity Health of New England Provider Network Organization Inc
Practice addresses (Care Compare)
103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000
170 Hazard Ave
Enfield, CT 06082-4520
Phone (860) 763-4001
21 Woodland St
112 Womens Health Group
Hartford, CT 06105-4318
Phone (860) 278-4141
2301 Silas Deane Hwy
Rocky Hill, CT 06067-2330
Phone (860) 721-1052
Hospital & facility affiliations
- St Francis Hospital & Medical Center
- Johnson Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060926000050 | CT | Practitioner - Obstetrics/Gynecology | 1658376629 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044130 | CT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians for Women'S Health LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Woodland Women'S Services, L.L.C. | Past | Accepting new patients |
Locations
22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461
103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789
170 Hazard Ave
Enfield, CT 06082
Phone (860) 749-2022
21 Woodland St
Ste 112
Hartford, CT 06105
Phone (860) 278-4141
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
2301 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 721-0249
1260 Silas Deane Hwy
Ste 103
Wethersfield, CT 06109
Phone (860) 257-4814
Interoperability endpoints
- kenneth.borkowski.1@10170.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 044130 | CT | Yes |
Addresses
Primary practice location
170 Hazard Ave
Enfield, CT 06082-4520
Mailing address
170 Hazard Ave
Enfield, CT 06082-4520
Phone (860) 763-4001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001441302 | Medicaid | CT |
Other providers in Enfield, CT
- Cynthia Bodeur
- Gabrielle M Bodian
- Phillip Boglisch
- Jaime Lind Bohan
- Cailyn Eve Bolduc
- Bridget Garrity Bortz
- Elise Bosco
- Rachel Boucher
- Linda Beach Bouffard
- Katherine Ann Bouley
All providers in Enfield, CT · Obstetrics & Gynecology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.