Doctor profile · Federal record
Dr. Ivan Borissow, PA-C
Physician Assistant · Baltimore, MD
- NPI 1194080374
- Accepts Medicare
- MIPS 79.1 / 100 · 2023
- 14 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5601 Loch Raven Blvd
Baltimore, MD 212392945
(443) 444-8000 - Additional location
-
4940 Eastern Ave Bldg 5W
Baltimore, MD 212242735
(410) 550-0942
Credentials & registration
- NPI registered
- July 2012 — 14 yrs on file
- Profile last updated
- May 11, 2020
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Maryland #C04854
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194080374. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $14.17 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Ivan Borissow's medical specialty?
Dr. Ivan Borissow practices Physician Assistant in Baltimore, MD.
Where does Dr. Ivan Borissow practice?
Dr. Ivan Borissow practices at 5601 Loch Raven Blvd, Baltimore, MD 212392945. Office phone: 4434448000.
What is Dr. Ivan Borissow's NPI?
Dr. Ivan Borissow's National Provider Identifier (NPI) is 1194080374, issued by NPPES.
Does Dr. Ivan Borissow accept Medicare assignment?
Yes. Dr. Ivan Borissow accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.