DR. VITALY BORODIN (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1659702553

DR. VITALY BORODIN (M.D.) is a healthcare provider. based in Tampa, Florida. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. ME135873 (FL). The NPI Number for DR. VITALY BORODIN (M.D.) is 1659702553

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. VITALY BORODIN (M.D.)
NPI
1659702553
Phone
(484) 350-7158
Address
3301 BAYSHORE BLVD UNIT 1709
Enumeration Date
3 December 2013
Last Update Date
29 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8135715193
Graduation Year
2002 (24 years ago)
PAC ID
9638424765
Group Practice PAC ID
9133244346
Professional Enrollment ID
I20180613003139
Address ID
FL335115779BR119XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:12State licenses:2Digital endpointsOther names

960 PATHOLOGY in FL

Provider Addresses for DR. VITALY BORODIN (M.D.)

  • 3301 BAYSHORE BLVD UNIT 1709

    TAMPA, FL 336298845

    Phone: (484) 350-7158

    Type: Mailing

  • 11 PEACHTREE LN

    DANVILLE, PA 178218452

    Phone:

    Type: Mailing

  • 5481 W WATERS AVE

    TAMPA, FL 336341205

    Phone: (484) 350-7158

    Type: Location

  • 5481 W Waters Ave

    Tampa, FL 336341205

    Phone: (484) 350-7158

    Type: Location

  • 1250 E. Marshall St

    POB 980662

    Richmond, VA 232980662

    Phone: (804) 828-0561

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180613003139IPathologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity438302$0
88341Special stained specimen slides to examine tissue, each additional procedure18877$0
88342Special stained specimen slides to examine tissue, initial procedure140120$0
88112Cell examination of specimen, selective cellular enhancement technique9776$0
88307Pathology examination of tissue using a microscope, moderately high complexity9674$0
View full utilization report →

Insurance plans in this area (ZIP 33629)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133244346View full group profile

Reviews

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Frequently asked questions

Does DR. VITALY BORODIN (M.D.) have a public NPI I can cite?
Public records show DR. VITALY BORODIN (M.D.) under NPI 1659702553.
Is DR. VITALY BORODIN (M.D.)'s NPI status active today?
Active status means DR. VITALY BORODIN (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. VITALY BORODIN (M.D.)?
NPPES ties DR. VITALY BORODIN (M.D.) to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. VITALY BORODIN (M.D.) tied to Tampa, Florida?
If you are local to Tampa, Florida, DR. VITALY BORODIN (M.D.) may be relevant to your search.
Why is information missing for DR. VITALY BORODIN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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