Individual provider Active NPI

Yevgeniy Borshchenko, M.D.

  • Internal Medicine Physician
  • West Hartford, CT
National Provider Identifier
1932586765
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64465 Issued in CT
Practice address
631 S Quaker LN
West Hartford, CT 06110-1026
Phone
(860) 233-5133
NPI assigned
Apr 30, 2015
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 305171 NY
Internal Medicine Physician 207R00000X 64465 CT Primary

Addresses

Primary practice location

631 S Quaker LN
West Hartford, CT 06110-1026

Mailing address

631 S Quaker LN
West Hartford, CT 06110-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20221213000084 CT Practitioner - Internal Medicine 9234530536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

631 Quaker S LN
West Hartford, CT 06110-1026
Phone (860) 231-6130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305171NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 1, 2023 Accepting new patients
Prohealth Physicians PC Internal Medicine CurrentSince Jun 3, 2024 Accepting new patients

Locations

761 Main Ave
Ste 201
Norwalk, CT 06851
Phone (203) 838-4000

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

631 S Quaker Ln
West Hartfrd, CT 06110
Phone (860) 231-6130

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: yevgeniy.borshchenko@xdr.hhchealthdirect.org

Organizations & group practices 3

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 2

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1932586765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S QUAKER LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S QUAKER LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101026",
            "telephone_number": "860-233-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSHCHENKO",
        "first_name": "YEVGENIY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "305171",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "64465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.