Individual provider Active NPI

Kenneth Borkowski, D.O.

  • Obstetrics & Gynecology Physician
  • Enfield, CT
National Provider Identifier
1730102260
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
044130 Issued in CT
Practice address
170 Hazard Ave
Enfield, CT 06082-4520
Phone
(860) 763-4001
Fax
(860) 749-5592
NPI assigned
Jul 25, 2006
Last updated
Jan 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 044130 CT Primary

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 1

IdentifierTypeStateIssuer
001441302MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20060926000050 CT Practitioner - Obstetrics/Gynecology 1658376629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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, LLCGroup PAC ID 3274430665, 319 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044130CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women's Health LLC Obstetrics & Gynecology CurrentSince Jul 1, 2006 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

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

21 Woodland St
Ste 112
Hartford, CT 06105
Phone (860) 278-4141

2301 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 882-1906

1260 Silas Deane Hwy
Ste 103
Wethersfield, CT 06109
Phone (860) 529-6218

Interoperability endpoints

  • Direct secure messaging: kenneth.borkowski.1@10170.direct.athenahealth.com

Organizations & group practices 3

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 6

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1730102260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824520",
            "telephone_number": "860-763-4001",
            "fax_number": "860-749-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824520",
            "telephone_number": "860-763-4001",
            "fax_number": "860-749-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKOWSKI",
        "first_name": "KENNETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "044130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001441302",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.