Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANNALISE MARIE BORELLIS MD
NPI 1386349934
Pediatrics in Grand Rapids, MI

Q: What is Annalise Borellis's NPI number?

The NPI number for Annalise Borellis is 1386349934. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Annalise Borellis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Annalise Borellis was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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 03, 2023PECOS Enrolled

275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-8810 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 3, 2026, Mar 6, 2026, Mar 28, 2025 and 2 more (5 updates tracked since 2023).

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About Annalise Marie Borellis Md NPPES

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

ANNALISE MARIE BORELLIS MD (NPI 1386349934) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4351051084) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2023).

NPPES Registry Identity

NPI1386349934

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameANNALISE MARIE BORELLISCredential: MD

Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 391-8810

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2023

Enumeration DateApril 3, 2023

Last NPPES UpdateAugust 3, 20265 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1386349934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4351051084

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

275 MICHIGAN ST NE, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annalise Marie Borellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668830563

PECOS Enrollment IDI20260624000805

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

PHILLIP RICHTER PARAS M.D.

Pediatrics