Active NPI
Mark D Sborov, M.D.
- Medical Oncology Physician
- Edina, MN
National Provider Identifier
1801865506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 23282
- Practice address
- 6545 France Ave S
Suite #210
Edina, MN 55435-2131 - Phone
- (952) 928-2900
- Fax
- (952) 928-2944
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 23282 | MN | Primary |
Addresses
Primary practice location
6545 France Ave S
Suite #210
Edina, MN 55435-2131
Mailing address
Minnesota Oncology
2550 University Ave W
Saint Paul, MN 55114-2001
Phone (651) 602-5311
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104002 | Other | MN | PREFERREDONE |
| 23298 | Other | MN | AMERICA'S PPO |
| 31681700 | Medicaid | WI | |
| 3600786 | Other | MN | MEDICA |
| HP14322 | Other | MN | HEALTHPARTNERS |
| 405387700 | Medicaid | MN | |
| 8T411SB | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 103020 | Other | MN | UCARE MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23282 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Oncology Hematology, PA | Past | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Medical Oncology | Past | Accepting new patients |
| Minnesota Oncology Hematology, PA | Medical Oncology | 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.
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1528035995
Medical Oncology
-
- Radiation Oncology Physician
- Saint Paul, MN
- NPI 1598305427
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1609911205
Medical Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1801865506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MINNESOTA ONCOLOGY",
"address_2": "2550 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551142001",
"telephone_number": "651-602-5311",
"fax_number": "651-222-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6545 FRANCE AVE S",
"address_2": "SUITE #210",
"city": "EDINA",
"state": "MN",
"postal_code": "554352131",
"telephone_number": "952-928-2900",
"fax_number": "952-928-2944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SBOROV",
"first_name": "MARK",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MN",
"license": "23282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "0104002",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "23298",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31681700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "3600786",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP14322",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405387700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "8T411SB",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE MN",
"identifier": "103020",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.