Edgar Amistoso Borda, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

3046 N Ashland Avenue
Chicago, IL 60657-3034

Phone

(773) 528-5851

Fax

(773) 528-9790

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Excellent Medical Associates, P.C.

  • General Practice Physician
  • Orland Park, IL
  • NPI 1215223623
  Medicare reassignment NPD
• Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
  • NPI 1932961240
  NPD
• AMC Medical Center, LLC

  • Health Service Clinic/Center
  • Des Plaines, IL
  • NPI 1073632394
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891782447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 N ASHLAND AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573034",
            "telephone_number": "773-528-5851",
            "fax_number": "773-528-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 N ASHLAND AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573034",
            "telephone_number": "773-528-5851",
            "fax_number": "773-528-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDA",
        "first_name": "EDGAR",
        "middle_name": "AMISTOSO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Borchardt, MD
• Matthew Ryan Borchart, MD
• Olivia Noor Rashid Borcherdt, PA
• Elizabeth Borchers
• Stephen J Bord, L.C.S.W.
• Sean David Bordelon, M.D.
• Britt Michael Borden, M.D.
• William Borden, PHD
• Kristine Kay Bordenave, M.D.
• Catherine Borders

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.