MR. MICHAEL JOHN BORUCKI (M.D.) – Internal Medicine Physician, NPI 1194713230

MR. MICHAEL JOHN BORUCKI (M.D.) is a healthcare provider. based in Waco, Texas. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. G6777 (TX). The NPI Number for MR. MICHAEL JOHN BORUCKI (M.D.) is 1194713230

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL JOHN BORUCKI (M.D.)
NPI
1194713230
Phone
(254) 750-8200
Address
1600 PROVIDENCE DR
Enumeration Date
12 October 2005
Last Update Date
14 January 2013

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
2543134200
Graduation Year
1983 (43 years ago)
PAC ID
6103858402
Group Practice PAC ID
1153370242
Professional Enrollment ID
I20050907001234
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. MICHAEL JOHN BORUCKI (M.D.)

  • 1600, Providence Drive, Waco, McLennan County, Texas, 76707, United States

    FAMILY PRACTICE CENTER

    WACO, TX 767072261

    Phone: (254) 750-8200

    Fax: (254) 750-8383

    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: 2005-09-07

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
I20050907001234IInternal MedicineTXTBD

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
80053Blood test, comprehensive group of blood chemicals2519$0
83036Hemoglobin a1c level2513$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1313$0
View full utilization report →

Insurance plans in this area (ZIP 76707)

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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: 1153370242View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Certified Nurse Midwife (Cnm)TX
-OK
Family PracticeTX
-TX
Family PracticeTX
Physician AssistantSC
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What NPI should I save for MR. MICHAEL JOHN BORUCKI (M.D.)?
Save NPI 1194713230 if you need a stable reference for MR. MICHAEL JOHN BORUCKI (M.D.).
Is MR. MICHAEL JOHN BORUCKI (M.D.) active in the national directory?
MR. MICHAEL JOHN BORUCKI (M.D.)'s public NPI profile is in an active state.
What does MR. MICHAEL JOHN BORUCKI (M.D.) treat or focus on?
Patients typically see MR. MICHAEL JOHN BORUCKI (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MR. MICHAEL JOHN BORUCKI (M.D.)'s primary listing?
We display Waco, Texas because that is what the record indicates for MR. MICHAEL JOHN BORUCKI (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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