Theodore Borgman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

02416R Issued in LA

Practice address

3700 Saint Charles Ave FL 4
New Orleans, LA 70115-4637

Phone

(504) 897-7007

Fax

(504) 897-7789

NPI assigned

Jan 16, 2007

Last updated

Mar 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Merit-based Incentive Payment System (MIPS)

Final score

76.25 of 100Reported as group

Quality

71.6

Improvement activities

40

Cost

72.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Crescent City Physicians, Inc.

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1689722340

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1770634503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST",
            "address_2": "SUITE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153628",
            "telephone_number": "504-897-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SAINT CHARLES AVE FL 4",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154637",
            "telephone_number": "504-897-7007",
            "fax_number": "504-897-7789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Prytania St",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701153532",
            "country_code": "US",
            "telephone_number": "504-897-8118",
            "fax_number": "504-897-8644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORGMAN",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "02416R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1088030",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Shannon Bordnick, LCSW
• Rachael Giovanna Borenstein, RN
• Marion Boreros, LCSW
• Christina Borgan, PSYD
• Amne Borghol, PHARMD
• Bernadette Barrameda Borja, M.D.
• Pamela Born, L-SLP
• David Mark Borne, MD
• Madeline Maxine Borne, O.D.
• Jamie Chauvin Borner, FNP-C

• Internal Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.