Individual provider Active NPI

Benedicto R Borja, M.D.

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1891716940
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D005981 Issued in MD
Practice address
2120 L St NW Ste 600
Washington, DC 20037-1540
Phone
(202) 741-2900
Fax
(202) 741-2891
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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 D005981 MD Primary

Addresses

Primary practice location

2120 L St NW Ste 600
Washington, DC 20037-1540

Mailing address

2120 L St NW Ste 600
Washington, DC 20037-1540
Phone (202) 741-2900

Other practice location 1

701 W. Pratt St.
3Rd FLR
Baltimore, MD 21201
Phone (410) 328-5881

Other identifiers 1

IdentifierTypeStateIssuer
406988900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20200626000832 DC Practitioner - Psychiatry 5395719314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

2120 L St NW
Washington, DC 20037-1527
Phone (202) 741-2900

Hospital & facility affiliations

  • George Washington Univ Hospital Hospital, Washington, DC, CCN 090001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D005981MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc CurrentSince May 5, 2020 Accepting new patients
Somc Medical Care Foundation, Inc. Psychiatry Current Accepting new patients
Western Maryland Health Care Corporation Past Accepting new patients
University of Maryland Psychiatry Associates, PA Psychiatry Past Accepting new patients
District Hospital Partners L P Past Accepting new patients
Foggy Bottom Physician Group Inc. PastSince Mar 20, 2022 Accepting new patients

Locations

2120 L St NW
Ste 600
Washington, DC 20037
Phone (202) 741-2888

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2120 L St NW
Washington, DC 20037
Phone (202) 715-4600

1735 27th St
Ste 302
Portsmouth, OH 45662
Phone (740) 355-8562

Interoperability endpoints

  • Direct secure messaging: bborja22771@gwmfa.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1891716940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 L ST NW STE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371540",
            "telephone_number": "202-741-2900",
            "fax_number": "202-741-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 L ST NW STE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371540",
            "telephone_number": "202-741-2900",
            "fax_number": "202-741-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W. PRATT ST.",
            "address_2": "3RD FLR",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "410-328-5881",
            "fax_number": "410-328-5882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORJA",
        "first_name": "BENEDICTO",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D005981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406988900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.