DR. NICHOLAS ALEXANDER BORM (M.D.) – Emergency Medicine Physician, NPI 1205272739

DR. NICHOLAS ALEXANDER BORM (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. A124654 (CA). The NPI Number for DR. NICHOLAS ALEXANDER BORM (M.D.) is 1205272739

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS ALEXANDER BORM (M.D.)
NPI
1205272739
Phone
(312) 694-7000
Address
211 E ONTARIO ST STE 300
Enumeration Date
10 May 2013
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
8189022990
Graduation Year
2009 (17 years ago)
PAC ID
1658514336
Group Practice PAC ID
1951308105
Professional Enrollment ID
I20130828000190
Address ID
CA914054542VA15107STXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

2,847 EMERGENCY MEDICINE in IL

Provider Addresses for DR. NICHOLAS ALEXANDER BORM (M.D.)

  • 211 E ONTARIO ST STE 300

    CHICAGO, IL 606113284

    Phone: (312) 694-7000

    Mailing address matches the actual address.

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: 2013-08-28

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
I20130828000190IEmergency MedicineCATBD

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
99285Emergency department visit with high level of medical decision making224217$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only218191$0
99284Emergency department visit with moderate level of medical decision making128121$0
99291Critical care, first 30-74 minutes117114$0
71045X-ray of chest, 1 view8787$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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Provider's Procedures

DR. NICHOLAS ALEXANDER BORM (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEIL36556Insertion of central venous catheter for infusion, patient 5 years or older2323
EMERGENCY MEDICINEIL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report433384

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: 1951308105View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
-CA
Emergency MedicineCA
Emergency MedicineMI
Emergency MedicineCA
Emergency MedicinePA
-MI
Emergency MedicineCA

Reviews

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Frequently asked questions

What federal number belongs to DR. NICHOLAS ALEXANDER BORM (M.D.)?
The federal identifier for DR. NICHOLAS ALEXANDER BORM (M.D.) is NPI 1205272739.
Is DR. NICHOLAS ALEXANDER BORM (M.D.)'s NPI currently valid?
The extract we use shows DR. NICHOLAS ALEXANDER BORM (M.D.) as active.
Can you summarize DR. NICHOLAS ALEXANDER BORM (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. NICHOLAS ALEXANDER BORM (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. NICHOLAS ALEXANDER BORM (M.D.)?
We surface Chicago, Illinois for DR. NICHOLAS ALEXANDER BORM (M.D.) based on available NPPES addresses.
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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