NPIMap

Individual provider Active NPI

Erik Mathew Borgnes, MD

  • Diagnostic Radiology Physician
  • Everett, WA
National Provider Identifier
1770536567
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00034822 Issued in WA
Practice address
728 134TH St SW
Suite 120
Everett, WA 98204-5322
Phone
(425) 297-6200
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34601 WI
Diagnostic Radiology Physician 2085R0202X MD00034822 WA Primary

Addresses

Primary practice location

728 134TH St SW
Suite 120
Everett, WA 98204-5322

Mailing address

728 134TH St SW
Suite 120
Everett, WA 98204-5322
Phone (425) 297-6200

Other identifiers 1

IdentifierTypeStateIssuer
32512300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001091 WI Practitioner - Diagnostic Radiology 3274426556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Wisconsin Radiologists SCGroup PAC ID 7113912304, 9 clinicians

Practice addresses (Care Compare)

3410 Stanley St
Stevens Point, WI 54481-1325
Phone 7153441234117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as group
Quality
92.26
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00034822WAMDDiagnostic Radiology Physician
34601WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Pathology Services SC PastSince Apr 6, 2023 Accepting new patients
Radia Inc P S Diagnostic Radiology Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1770536567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 134TH ST SW",
            "address_2": "SUITE 120",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045322",
            "telephone_number": "425-297-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 134TH ST SW",
            "address_2": "SUITE 120",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045322",
            "telephone_number": "425-297-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGNES",
        "first_name": "ERIK",
        "middle_name": "MATHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "34601",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00034822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32512300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.