NPIMap

Individual provider Active NPI

Louis Borgatta, MD

  • Cardiovascular Disease Physician
  • Wyomissing, PA
National Provider Identifier
1942290390
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD 040000 E Issued in PA
Practice address
2605 Keiser Blvd
Wyomissing, PA 19610-3338
Phone
(610) 685-8500
Fax
(610) 378-5131
NPI assigned
Oct 26, 2005
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD040000E PA
Cardiovascular Disease Physician 207RC0000X MD 040000 E PA Primary

Addresses

Primary practice location

2605 Keiser Blvd
Wyomissing, PA 19610-3338

Mailing address

2605 Keiser Blvd
Wyomissing, PA 19610-3338
Phone (610) 685-8500

Other identifiers 1

IdentifierTypeStateIssuer
0014132930004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050526000075 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Critical Care (Intensivists) 9830131176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Critical Care (Intensivists)
Education
New York Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2605 Keiser Blvd
Wyomissing, PA 19610-3338
Phone (670) 685-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 040000 EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Jan 1, 2019 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Aug 1, 2018 Accepting new patients
Penn State Health Medical Group, LLC Cardiovascular Disease CurrentSince Aug 1, 2018 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jan 1, 2019 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients
Berks Vascular Institute, PC Past Accepting new patients

Locations

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

2605 Keiser Blvd
Wyomissing, PA 19610
Phone (610) 685-8500

Interoperability endpoints

  • Direct secure messaging: louisborgatta@bcl.allscriptsdirect.net

Organizations & group practices 7

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 12

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1942290390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103338",
            "telephone_number": "610-685-8500",
            "fax_number": "610-378-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103338",
            "telephone_number": "610-685-8500",
            "fax_number": "610-378-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGATTA",
        "first_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD040000E",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD 040000 E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014132930004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.