Individual provider Active NPI

Adam Borah, MD

  • Psychiatry Physician
  • Georgetown, TX
National Provider Identifier
1831173350
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M3920 Issued in TX
Practice address
700 SE Inner Loop
Georgetown, TX 78626-7700
Phone
(512) 819-9400
NPI assigned
Nov 30, 2005
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M3920 TX Primary

Addresses

Primary practice location

700 SE Inner Loop
Georgetown, TX 78626-7700

Mailing address

700 SE Inner Loop
Georgetown, TX 78626-7700
Phone (512) 819-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140508000933 TX Practitioner - Psychiatry 3779716287 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 21, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 21, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 21, 2022 Accepting new patients

Locations

119 S 1st Ave
Martin, SD 57551
Phone (605) 685-2800

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1831173350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267700",
            "telephone_number": "512-819-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267700",
            "telephone_number": "512-819-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAH",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M3920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.