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DR. CHIRAG N BORADIA D.O.
NPI 1093970923
Internal Medicine - Endocrinology, Diabetes & Metabolism in Livingston, NJ

Active since July 21, 2008PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
22 OLD SHORT HILLS RD, SUITE 201, LIVINGSTON, NJ 07039(973) 535-8870(973) 535-8818 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Chirag N Boradia D.o. NPPES

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

DR. CHIRAG N BORADIA D.O. (NPI 1093970923) is an individual endocrinology, diabetes & metabolism provider in Livingston, New Jersey, licensed in New Jersey (25MB08630700) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2003).

NPPES Registry Identity

NPI1093970923
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. CHIRAG N BORADIACredential: D.O.
Location Address22 OLD SHORT HILLS RD, SUITE 201Livingston, NJ 07039-5604
Mailing Address22 Old Short Hills Rd, Suite 201Livingston, NJ 07039-5604 · (973) 535-8870 · Fax (973) 535-8818
Phone(973) 535-8870
Fax(973) 535-8818
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2003
Enumeration DateJuly 21, 2008
Last NPPES UpdateAugust 19, 2019
✔ NPI 1093970923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in NJ · 25MB08630700✔ Licensed in NY · 243813
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

22 OLD SHORT HILLS RD, Livingston, NJ 07039
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Chirag N Boradia D.o. 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 ID9234276114
PECOS Enrollment IDI20091026000502
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 7

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.
708 services185 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
298 services146 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
202 services141 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
107 services93 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.
83 services34 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
54 services30 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
85%563 patients4/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
87%563 patients4/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
72%563 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
73%2,215 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,230 patients4/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
58%1,252 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%1,154 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
37%785 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 84% · 478 patients
86%478 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%1,252 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%1,252 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%1,252 patients
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 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers17 claims272 services$17.38 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers18 claims580 services$2.37 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers20 claims20 services$175.65 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
50 suppliers129 claims502 services$5.72 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
29 suppliers62 claims134 services$0.99 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers16 claims16 services$319.38 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 20

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

JOSEPH S SOBELMAN MD
Psychiatry & Neurology (Neurology)
22 OLD SHORT HILLS RD, SUITE 106
LIVINGSTON, NJ 07039
Essex County (973) 994-1123
ALAN J LIFTIN, MD, MEDICAL SERVICES, PC
Dermatology
22 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 535-9550
HYPERTENSION AND RENAL GROUP, P.A.
Internal Medicine (Nephrology)
22 OLD SHORT HILLS RD, SUITE 212
LIVINGSTON, NJ 07039
Essex County (973) 994-4550
ALAN B ECHIKSON MD PA
Internal Medicine (Hematology)
22 OLD SHORT HILLS RD, SUITE 108
LIVINGSTON, NJ 07039
Essex County (973) 533-9299
DR. SRIDHAR SRINIVASAN NAMBI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
22 OLD SHORT HILLS RD, SUITE 201
LIVINGSTON, NJ 07039
Essex County (973) 535-8870
MARILYN MCARTHUR MD PA
Obstetrics & Gynecology
22 OLD SHORT HILLS RD, SUITE 202
LIVINGSTON, NJ 07039
Essex County (973) 758-9311
DR. MICHAEL J GERSON PH.D.
Psychologist (Clinical)
22 OLD SHORT HILLS RD, SUITE 216
LIVINGSTON, NJ 07039
Essex County (973) 994-9161
DR. ELLIOT N. COHEN D.M.D.
Dentist (Prosthodontics)
22 OLD SHORT HILLS RD, SUITE 208
LIVINGSTON, NJ 07039
Essex County (973) 740-0100

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 Chirag Boradia's NPI number?

The NPI number for Chirag Boradia is 1093970923. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Chirag Boradia located?

Chirag Boradia practices at 22 Old Short Hills Rd Suite 201, Livingston, NJ 07039. The listed phone number is (973) 535-8870.

What is Chirag Boradia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Chirag Boradia enrolled in Medicare?

Yes. Chirag Boradia 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 Chirag Boradia accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Chirag Boradia 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.

Is Chirag Boradia affiliated with any hospitals?

According to CMS data, Chirag Boradia is affiliated with Morristown Medical Center, Cooperman Barnabas Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Chirag Boradia was last updated on August 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.