Individual provider Active NPI

Michael Borodkin, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1801903349
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
191081 Issued in NY
Practice address
178 E 71St St
New York, NY 10021-5131
Phone
(516) 796-4030
Fax
(516) 796-5134
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 191081 NY Primary

Addresses

Primary practice location

178 E 71St St
New York, NY 10021-5131

Mailing address

178 E 71St St
New York, NY 10021-5131
Phone (516) 796-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080404000391 NY Practitioner - Ophthalmology 3678679081 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

178 E 71St St
New York, NY 10021-5131
Phone (212) 650-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.38 of 100Reported as individual
Quality
86.52
Improvement activities
40
Cost
79.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191081NYMDOphthalmology Physician

Hospital & facility affiliations 1

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1801903349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 E 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215131",
            "telephone_number": "516-796-4030",
            "fax_number": "516-796-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215131",
            "telephone_number": "516-796-4030",
            "fax_number": "516-796-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORODKIN",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "191081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.