DR. RAJESH BOORGU M.D.
NPI 1033117817
Internal Medicine - Nephrology in Florence, AL

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
422 E DR HICKS BLVD, FLORENCE, AL 35630(256) 766-1401(256) 766-1402 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Rajesh Boorgu M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAJESH BOORGU M.D. (NPI 1033117817) is an individual nephrology provider in Florence, Alabama, licensed in Alabama (000020221) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1994).

NPPES Registry Identity

NPI1033117817
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. RAJESH BOORGUCredential: M.D.
Location Address422 E DR HICKS BLVDFlorence, AL 35630-5763
Mailing Address422 E Dr Hicks BlvdFlorence, AL 35630-5763 · (256) 766-1401 · Fax (256) 766-1402
Fax(256) 766-1402
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1994
Enumeration DateJuly 14, 2005
Last NPPES UpdateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
NPI 1033117817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in AL · 000020221
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 000020221 (AL)
422 E DR HICKS BLVD, Florence, AL 35630

Other Identifiers 4

Other110208939SC · Medicare Railroad/palmetto Gba - Individual
OtherCC6102SC · Medicare Railroad/palmetto Gba - Group
Medicaid000076742AL
Medicaid529400760AL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Rajesh Boorgu M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921087347
PECOS Enrollment IDI20101025000313
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 33

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,397 services315 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
390 services159 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
386 services133 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
383 services161 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
358 services161 patients
Phosphate level 84100
A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.
354 services160 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%284 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%236 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims2,100 services$0.29 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$214.24 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$17.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
422 E DR HICKS BLVD
FLORENCE, AL 35630
Clinical Nurse Specialist (Acute Care)
422 E DR HICKS BLVD, SUITE A
FLORENCE, AL 35630
Internal Medicine (Nephrology)
422 E DR HICKS BLVD
FLORENCE, AL 35630
Internal Medicine (Nephrology)
422 E DR HICKS BLVD
FLORENCE, AL 35630
Internal Medicine (Nephrology)
422 E DR HICKS BLVD, STE A
FLORENCE, AL 35630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rajesh Boorgu's NPI number?

The NPI number for Rajesh Boorgu is 1033117817. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Rajesh Boorgu located?

Rajesh Boorgu practices at 422 E Dr Hicks Blvd, Florence, AL 35630. The listed phone number is (256) 766-1401.

What is Rajesh Boorgu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rajesh Boorgu enrolled in Medicare?

Yes. Rajesh Boorgu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rajesh Boorgu accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Rajesh Boorgu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rajesh Boorgu was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.