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DR. THEODOR BORGOVAN M.D.
NPI 1619397676
Internal Medicine - Hematology & Oncology in Providence, RI

Active since April 17, 2014PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-5435(401) 444-8301 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 6, 2026, Nov 15, 2018, Aug 28, 2017 (3 updates tracked since 2017).

About Dr. Theodor Borgovan M.d. NPPES

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

DR. THEODOR BORGOVAN M.D. (NPI 1619397676) is an individual hematology & oncology provider in Providence, Rhode Island, licensed in Rhode Island (MD16010) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619397676
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. THEODOR BORGOVANCredential: M.D.
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 444-5435
Fax(401) 444-8301
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 17, 2014
Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1619397676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in RI · MD16010✔ Licensed in MA · 1025966
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD16010 (RI)
593 EDDY ST, Providence, RI 02903
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Secondary Practice Locations 3

Location 170 Walnut St Ste 100Foxboro, MA 02035-5312 · Phone (508) 698-3266 · Fax (508) 543-3046
Location 2164 Summit AveProvidence, RI 02906-2853 · Phone (401) 793-2920 · Fax (401) 793-2859
Location 391 Washington St Unit 203Taunton, MA 02780-7404 · Phone (508) 828-7549 · Fax (401) 444-6912

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodor Borgovan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527331677
PECOS Enrollment IDI20260216003084
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
84 services83 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695
FANNY HUANG MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4741

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 Theodor Borgovan's NPI number?

The NPI number for Theodor Borgovan is 1619397676. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Theodor Borgovan located?

Theodor Borgovan practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-5435.

What is Theodor Borgovan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Theodor Borgovan enrolled in Medicare?

Yes. Theodor Borgovan is registered in the Medicare PECOS enrollment system.

Is Theodor Borgovan affiliated with any hospitals?

According to CMS data, Theodor Borgovan is affiliated with Saint Anne's Hospital, Morton Hospital and Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Theodor Borgovan was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.