DR. AVRAHAN TZVI HIRSCH BOROOSAN MD
NPI 1295476224
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Avrahan Boroosan's NPI number?

The NPI number for Avrahan Boroosan is 1295476224. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Avrahan Boroosan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Avrahan Boroosan was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 05, 2022PECOS Enrolled

820 SOUTH WOOD STREET, SUITE 100, MC 675, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Avrahan Tzvi Hirsch Boroosan Md NPPES

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

DR. AVRAHAN TZVI HIRSCH BOROOSAN MD (NPI 1295476224) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295476224

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. AVRAHAN TZVI HIRSCH BOROOSANCredential: MD

Location Address820 SOUTH WOOD STREET, SUITE 100, MC 675Chicago, IL 60612

Mailing Address820 South Wood Street, Suite 100, Mc 675Chicago, IL 60612 · (312) 996-2933

Phone(312) 996-2933

Sole ProprietorNo

Enumeration DateApril 5, 2022

NPPES CertifiedApril 4, 2022

✔ NPI 1295476224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

820 SOUTH WOOD STREET, Chicago, IL 60612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Avrahan Tzvi Hirsch Boroosan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Avrahan Boroosan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gottlieb Community Health Services Corporation

6.8 mi

General Practice

3249 OAK PARK AVE
Berwyn, IL 60402

Reassigned Medicare billing, Illinois enrollment
86 clinicians in this Medicare group

NPI 1013415603 (708) 783-3125

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.

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