Mary Boruta, MD
NPI 1518191204 · Pediatric Gastroenterology Physician · Charlotte, NC
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Boruta, MD is a Pediatric Gastroenterology Physician provider in Charlotte, NC (NPI 1518191204).
Provider details
- NPI number
- 1518191204
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2015-00920 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 1001 Blythe BlvdSte 500Charlotte, NC 28203-5866Phone: (704) 373-1813
- 100 Medical Park DrSte 310eConcord, NC 28025-2948Phone: (704) 403-2660
- 2550 Court DrGastonia, NC 28054-2152Phone: (704) 381-8840
- 1781 Tate Blvd SeHickory, NC 28602-4251Phone: (704) 381-8840
Registry dates
- Enumerated
- 2009-05-08
- Last updated
- 2024-08-05
- Certified
- 2023-10-28
Frequently asked questions
- What is Mary Boruta's NPI number?
- Mary Boruta's National Provider Identifier (NPI) is 1518191204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Boruta's specialty?
- Mary Boruta is listed in the NPPES registry with a primary specialty of Pediatric Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Boruta located?
- Mary Boruta's practice location on file with NPPES is 1001 Blythe Blvd, Charlotte, NC 28203-5866.
- What is Mary Boruta's phone number?
- The practice phone number listed in the NPPES registry for Mary Boruta is (704) 381-8840.
- Does Mary Boruta accept Medicare?
- Mary Boruta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Boruta's NPI active?
- Yes — Mary Boruta's NPI (1518191204) is active in the NPPES registry as of the last update on 2024-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.