Active NPI
Henry J Borkowski, MD
- Cardiovascular Disease Physician
- Waterbury, CT
National Provider Identifier
1952337883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 017679
- Practice address
- 455 Chase Pkwy
Waterbury, CT 06708-3352 - Phone
- (203) 573-1435
- NPI assigned
- Jun 23, 2006
- Last updated
- Oct 31, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 017679 | CT | Primary |
Addresses
Primary practice location
455 Chase Pkwy
Waterbury, CT 06708-3352
Mailing address
455 Chase Pkwy
Waterbury, CT 06708-3352
Phone (203) 573-1435
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01001769CT01 | Other | CT | ANTHEM BC & BS |
| 060038828 | Other | CT | RAILROAD MEDICARE |
| 20-76894 | Other | CT | UHC |
| 010017679CT04 | Other | CT | ANTHEM BCBS CT |
| 017679 | Other | CT | CONNECTICARE |
| 4127783 | Other | CT | AETNA HEALTH PLANS |
| P2718217 | Other | CT | OXFORD |
| P380229 | Other | CT | OXFORD HEALTH PLANS |
| 206678 | Other | CT | WELLCARE |
| 2V2875 | Other | CT | HEALTHNET/COMMERCIAL |
| 1952337883 | Medicaid | CT | |
| 001176791 | Medicaid | CT | |
| 0R0350 | Other | CT | HEALTH NET OF THE NORTHET |
| 25-40434 | Other | CT | UNITED HEALTHCARE |
| 0101769 | Other | CT | CIGNA HEALTH PLANS |
| 017679-H055 | Other | CT | CONNECTICARE |
| 2974514/4127783 | Other | CT | AMERICHOICE |
| 874079 | Other | CT | USA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017679 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Associates of Greater Waterbury LLC | Cardiovascular Disease | Current | Accepting new patients |
| Prospect Waterbury, Inc. | Current | Accepting new patients |
Locations
455 Chase Pkwy
Waterbury, CT 06708
Phone (203) 573-1435
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Waterbury, CT
- NPI 1407159833
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414713600000",
"number": "1952337883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 CHASE PKWY",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083352",
"telephone_number": "203-573-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 CHASE PKWY",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083352",
"telephone_number": "203-573-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORKOWSKI",
"first_name": "HENRY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2014-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "017679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC & BS",
"identifier": "01001769CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060038828",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "20-76894",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS CT",
"identifier": "010017679CT04",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "017679",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PLANS",
"identifier": "4127783",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2718217",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P380229",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "206678",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/COMMERCIAL",
"identifier": "2V2875",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952337883",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001176791",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET OF THE NORTHET",
"identifier": "0R0350",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "25-40434",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLANS",
"identifier": "0101769",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "017679-H055",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "2974514/4127783",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA",
"identifier": "874079",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.