NPIMap

Individual provider Active NPI

Christopher Borrego, D.O.

  • Internal Medicine Physician
  • Sugar Hill, GA
National Provider Identifier
1811999543
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
052259 Issued in GA
Practice address
4720 Nelson Brogdon Blvd
Sugarhill, GA 30518-3480
Phone
(770) 945-1990
Fax
(770) 945-3631
NPI assigned
Aug 12, 2005
Last updated
Jul 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 052259 GA Primary

Addresses

Primary practice location

4720 Nelson Brogdon Blvd
Sugarhill, GA 30518-3480

Mailing address

4720 Nelson Brogdon Blvd
Sugarhill, GA 30518-3480
Phone (770) 945-1990

Other identifiers 2

IdentifierTypeStateIssuer
514775591AMedicaidGA
52703490OtherGABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040825001149 GA Practitioner - Internal Medicine 5890769780 Reassigns benefits to 3 organizations
I20230112000402 CT Practitioner - Hospitalist 5890769780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Tri County Internal Medicine, PCGroup PAC ID 9830187988, 6 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4741

4720 Nelson Brogdon Blvd
Sugar Hill, GA 30518-3480
Phone (770) 945-1990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Dec 15, 2022 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Apr 18, 2021 Accepting new patients
Tri County Internal Medicine, PC Internal Medicine CurrentSince Jul 8, 2004 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Feb 1, 2021 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Dec 15, 2022 Accepting new patients
Concierge Medicine LLC Internal Medicine Past Accepting new patients

Locations

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

4720 Nelson Brogdon Blvd
Buford, GA 30518
Phone (770) 945-1990

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Interoperability endpoints

  • Direct secure messaging: cborrego599122@direct.ynhh.org
  • Direct secure messaging: christopher.borrego.1@24481.direct.athenahealth.com
  • Direct secure messaging: christopher.borrego.1@31578.direct.athenahealth.com
  • Direct secure messaging: christopher.borrego@tcimpc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGEJCD

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1811999543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 NELSON BROGDON BLVD",
            "city": "SUGARHILL",
            "state": "GA",
            "postal_code": "305183480",
            "telephone_number": "770-945-1990",
            "fax_number": "770-945-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 NELSON BROGDON BLVD",
            "city": "SUGARHILL",
            "state": "GA",
            "postal_code": "305183480",
            "telephone_number": "770-945-1990",
            "fax_number": "770-945-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREGO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514775591A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52703490",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

Verify at the official NPI Registry.