Individual provider Active NPI

Hesamodin Borhani, M.D.

  • Internal Medicine Physician
  • Trenton, MO
National Provider Identifier
1912930975
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
105852 Issued in MO
Practice address
1707 E 9TH St
Trenton, MO 64683-2641
Phone
(660) 339-8500
Fax
(660) 339-8507
NPI assigned
Jul 9, 2006
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 105852 MO Primary

Addresses

Primary practice location

1707 E 9TH St
Trenton, MO 64683-2641

Mailing address

1707 E 9TH St
Trenton, MO 64683-2641
Phone (660) 339-8500

Other identifiers 2

IdentifierTypeStateIssuer
208478016MedicaidMO
1912930975MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100125000022 MO Practitioner - Internal Medicine 8224170659 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

1707 E 9TH St
Mosaic Life Care
Trenton, MO 64683-2641
Phone (660) 339-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as group
Quality
83.61
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions37
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105852MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Center Association Inc CurrentSince Sep 27, 2015 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince May 1, 2019 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Sep 27, 2015 Accepting new patients
Heartland Regional Medical Center Internal Medicine Current Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince Jul 1, 2025 Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince Apr 16, 2019 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince May 1, 2019 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Jul 1, 2025 Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince Apr 16, 2019 Accepting new patients

Locations

705 N College St
Albany, MO 64402
Phone (660) 726-3941

215 S Walnut St
Cameron, MO 64429
Phone (816) 632-1799

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1005

1707 E 9th St
Trenton, MO 64683
Phone (660) 339-8500

189 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5750

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

Interoperability endpoints

  • Direct secure messaging: hesam.borhani@direct.mymlc.com
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1912930975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 E 9TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832641",
            "telephone_number": "660-339-8500",
            "fax_number": "660-339-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E 9TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832641",
            "telephone_number": "660-339-8500",
            "fax_number": "660-339-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORHANI",
        "first_name": "HESAMODIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "105852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208478016",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912930975",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

Verify at the official NPI Registry.