Individual provider Active NPI

Eileen Y Boroughs, MD

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1811999212
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39277 Issued in TN
Practice address
3370 Jenkins Rd
Internal Medicine East
Chattanooga, TN 37421-1189
Phone
(423) 648-8005
Fax
(423) 648-8006
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39277 TN Primary

Addresses

Primary practice location

3370 Jenkins Rd
Internal Medicine East
Chattanooga, TN 37421-1189

Mailing address

PO Box 6159
Chattanooga, TN 37401-6159
Phone (423) 684-8005

Other identifiers 1

IdentifierTypeStateIssuer
3327500MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050217000934 TN Practitioner - Family Practice 7113979113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Health Alliance PCGroup PAC ID 7911895412, 11 clinicians

Practice addresses (Care Compare)

3370 Jenkins Rd
Chattanooga, TN 37421-1189
Phone (423) 648-8005

725 Glenwood Dr
E480
Chattanooga, TN 37404-1173
Phone (423) 756-5779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39277TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health Alliance PC Family Medicine CurrentSince Jun 1, 2015 Accepting new patients
Karing Hearts Cardiology, PLLC Past Accepting new patients
Medical Care LLC Family Medicine Past Accepting new patients

Locations

725 Glenwood Dr
Ste E480
Chattanooga, TN 37404
Phone (423) 629-1491

3370 Jenkins Rd
Chattanooga, TN 37421
Phone (423) 648-8005

979 E 3rd St
Ste 601
Chattanooga, TN 37403
Phone (423) 756-8871

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 5

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1811999212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6159",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374016159",
            "telephone_number": "423-684-8005",
            "fax_number": "423-648-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 JENKINS RD",
            "address_2": "INTERNAL MEDICINE EAST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211189",
            "telephone_number": "423-648-8005",
            "fax_number": "423-648-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROUGHS",
        "first_name": "EILEEN",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "39277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3327500",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.