BORAM JI M.D.
NPI 1497132930
Pediatrics - Pediatric Gastroenterology in Glen Burnie, MD

Q: What is Boram Ji's NPI number?

The NPI number for Boram Ji is 1497132930. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Q: What is Boram Ji's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Boram Ji was last updated on June 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment

301 HOSPITAL DR, GLEN BURNIE, MD 21061(410) 787-4000 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 14, 2024, Jun 21, 2018 (2 updates tracked since 2018).

On this page

About Boram Ji M.d. NPPES

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

BORAM JI M.D. (NPI 1497132930) is an individual pediatric gastroenterology provider in Glen Burnie, Maryland, licensed in Texas (U3252) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497132930

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameBORAM JICredential: M.D.

Location Address301 HOSPITAL DRGlen Burnie, MD 21061

Mailing Address7965 Brightlight PlEllicott City, MD 21043-7959 · (443) 812-6463

Phone(410) 787-4000

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 5, 2015

Last NPPES UpdateJune 14, 20242 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1497132930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in TX · U3252

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License P31325 (MD)

301 HOSPITAL DR, Glen Burnie, MD 21061

Open in Google Maps ↗

Secondary Practice Location 1

Location 12401 W Belvedere AveBaltimore, MD 21215-5216 · Phone (410) 601-9000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Boram Ji 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 ID2264735687

PECOS Enrollment IDI20231029000053

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 21061 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

JON OLETSKY M.D.

Anesthesiology