DR. NICHOLAS ALEXANDER BORJA M.D.
NPI 1982995015
Medical Genetics - Clinical Genetics (M.D.) in Miami, FL

Q: What is Nicholas Borja's NPI number?

The NPI number for Nicholas Borja is 1982995015. It was assigned to this individual provider in the NPPES registry on April 24, 2011.

Q: What is Nicholas Borja's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Borja was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 24, 2011PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1601 NW 12TH AVE FL 1, MIAMI, FL 33136(305) 243-6006(305) 243-3919 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2023, Feb 16, 2021, Dec 17, 2019 (3 updates tracked since 2019).

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About Dr. Nicholas Alexander Borja M.d. NPPES

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

DR. NICHOLAS ALEXANDER BORJA M.D. (NPI 1982995015) is an individual clinical genetics (m.d.) provider in Miami, Florida, licensed in Florida (ME-137924) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1982995015

Entity TypeIndividualMale

Primary Taxonomy207SG0201X

Provider Legal NameDR. NICHOLAS ALEXANDER BORJACredential: M.D.

Location Address1601 NW 12TH AVE FL 1Miami, FL 33136-1005

Mailing Address1501 Nw 10th Avenue, Floor 6, Suite M860Miami, FL 33136-1012 · (305) 243-6006 · Fax (305) 243-3919

Phone(305) 243-6006

Fax(305) 243-3919

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 24, 2011

Last NPPES UpdateJune 2, 20233 updates tracked since enumeration

NPPES CertifiedJune 2, 2023

✔ NPI 1982995015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians

Taxonomy Code207SG0201X

License✔ Licensed in FL · ME-137924

Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

1601 NW 12TH AVE FL 1, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Nicholas Alexander Borja 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 ID8921321308

PECOS Enrollment IDI20230810000223

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARIBEL GARCIA QUINONES DNP, PNP

Nurse Practitioner (Pediatrics)