NICOLE BORGLUM
NPI 1639798218
Pediatrics in Washington, DC

Q: What is Nicole Borglum's NPI number?

The NPI number for Nicole Borglum is 1639798218. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Q: What is Nicole Borglum'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 Nicole Borglum was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 13, 2020PECOS Enrolled

111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-3670 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2023, Apr 13, 2020 (2 updates tracked since 2020).

On this page

About Nicole Borglum NPPES

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

NICOLE BORGLUM (NPI 1639798218) is an individual pediatrics provider in Washington, District Of Columbia, licensed in District Of Columbia (MD210011815) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1639798218

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameNICOLE BORGLUM

Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916

Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-6423

Phone(202) 476-3670

Sole ProprietorNo

Enumeration DateApril 13, 2020

Last NPPES UpdateJune 22, 20262 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1639798218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in DC · MD210011815

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 MICHIGAN AVE NW, Washington, DC 20010

Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Borglum 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Leave this field empty