RICHARD JUSTIN BORUTA MD
NPI 1043444722
Pediatrics - Pediatric Cardiology in Charlotte, NC

Active since May 08, 2009PECOS EnrolledAccepts Medicare Assignment
1001 BLYTHE BLVD, STE 500, CHARLOTTE, NC 28203(704) 373-1813 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, May 4, 2023, Jan 24, 2023 (3 updates tracked since 2023).

About Richard Justin Boruta Md NPPES

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

RICHARD JUSTIN BORUTA MD (NPI 1043444722) is an individual pediatric cardiology provider in Charlotte, North Carolina, licensed in North Carolina (2015-00923) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Duke University School Of Medicine (2009).

NPPES Registry Identity

NPI1043444722
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameRICHARD JUSTIN BORUTACredential: MD
Location Address1001 BLYTHE BLVD, STE 500Charlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2009
Enumeration DateMay 8, 2009
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1043444722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NC · 2015-00923
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1001 BLYTHE BLVD, Charlotte, NC 28203

Secondary Practice Locations 4

Location 19625 Northcross Center Ct, Ste 102Huntersville, NC 28078-7348 · Phone (704) 403-2860
Location 21781 Tate Blvd SE, Ste 203Hickory, NC 28602-4251 · Phone (704) 381-3970
Location 3100 Medical Park Dr, Ste 310Concord, NC 28025-2948 · Phone (704) 403-2860
Location 41656 Riverchase Blvd, Suite 2500Rock Hill, SC 29732-2084 · Phone (803) 327-3456

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Justin Boruta Md 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 ID7517101223
PECOS Enrollment IDI20151109000148, I20230103000313
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Richard Boruta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospice and Palliative Medicine
1021 MOREHEAD MEDICAL DR, SUITE 5100-A
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • Also billed through NPI 1881624807 (South Carolina)
  • 1,646 clinicians in this Medicare group
Internal Medicine
1200 N ELM ST
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 408 clinicians in this Medicare group
133 mi
Internal Medicine
3000 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 182 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203

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 Richard Boruta's NPI number?

The NPI number for Richard Boruta is 1043444722. It was assigned to this individual provider in the NPPES registry on May 8, 2009.

Where is Richard Boruta located?

Richard Boruta practices at 1001 Blythe Blvd Ste 500, Charlotte, NC 28203. The listed phone number is (704) 373-1813.

What is Richard Boruta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Richard Boruta enrolled in Medicare?

Yes. Richard Boruta 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.

Which organizations bill Medicare for Richard Boruta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Boruta reassigns Medicare benefits to 3 organizations: Carolinas Physicians Network, Inc. (Charlotte, NC), The Moses H Cone Memorial Hospital Operating Corporation (Greensboro, NC) and Wakemed (Raleigh, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Boruta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Boruta accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Richard Boruta 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 Richard Boruta was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.