Individual provider Active NPI

Britt Michael Borden, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Chicago, IL
National Provider Identifier
1841251378
Registry record updated May 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
036115105 Issued in IL
Practice address
180 N Stetson Ave
Chicago, IL 60601-6710
Phone
(312) 502-4255
NPI assigned
Apr 2, 2006
Last updated
May 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036115105 IL
General Practice Physician 208D00000X 036115105 IL
Addiction Medicine (Family Medicine) Physician 207QA0401X 036115105 IL Primary
Neurological Surgery Physician 207T00000X 036115105 IL

Addresses

Primary practice location

180 N Stetson Ave
Chicago, IL 60601-6710

Mailing address

PO Box 308
Flossmoor, IL 60422-0308
Phone (312) 502-4255

Other identifiers 1

IdentifierTypeStateIssuer
036115105MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060502000320 IL Practitioner - Addiction MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Internal MedicinePractitioner - NeurosurgeryPractitioner - Geriatric Medicine 0345250668 Practice locations: Chicago, IL
I20160204001367 IN Practitioner - Addiction MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Internal MedicinePractitioner - Neurosurgery 0345250668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice, General Practice, Internal Medicine, Neurosurgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Foundry Dr
Suite 1200
West Lafayette, IN 47906-3446
Phone (765) 412-5180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4974SDMDClinical Social Worker
0392SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Britt Michael Borden MD Addiction Medicine CurrentSince Jan 7, 2024 Accepting new patients
Lake Mi Mobile Doctors P.C. Geriatric Medicine Past Accepting new patients

Locations

180 N Stetson Ave
Ste 3500
Chicago, IL 60601
Phone (312) 268-5730

101 Foundry Dr
Ste 1200
West Lafayette, IN 47906
Phone (765) 299-6807

Organizations & group practices 2

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": "1143936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494115200000",
    "number": "1841251378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604220308",
            "telephone_number": "312-502-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N STETSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016710",
            "telephone_number": "312-502-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "BRITT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-02",
        "last_updated": "2017-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036115105",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036115105",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036115105",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036115105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115105",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.