NPIMap

Individual provider Active NPI

Borna Reza Ghoorkhanian

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1851754709
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.135594 Issued in OH
Practice address
2123 Auburn Ave Ste 334
Cincinnati, OH 45219-2906
Phone
(513) 585-1500
Fax
(513) 585-1510
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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 35.135594 OH Primary

Addresses

Primary practice location

2123 Auburn Ave Ste 334
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave Ste 334
Cincinnati, OH 45219-2906
Phone (513) 585-1500

Other identifiers 2

IdentifierTypeStateIssuer
0345137MedicaidOH
7100591900MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bghoorkhanian81652@direct.thechristhospital.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190801000709 OH Practitioner - Internal Medicine 3476847930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 334
Cincinnati, OH 45219-2906
Phone (513) 585-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

2123 Auburn Ave
Ste 334
Cincinnati, OH 45219
Phone (513) 421-2600

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

237 William Howard Taft Rd
#23
Cincinnati, OH 45219

Organizations & group practices 1

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 9

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1851754709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 334",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-585-1500",
            "fax_number": "513-585-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 334",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-585-1500",
            "fax_number": "513-585-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOORKHANIAN",
        "first_name": "BORNA",
        "middle_name": "REZA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.135594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345137",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100591900",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bghoorkhanian81652@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2123 Auburn Ave Ste 334",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.