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Dr. Johane Gildade Boursiquot , MD

General Practice โ€ข Bronx, NY

Active NPI 1275801219 Individual Practitioner Female Practitioner
Practice location in NPPES

2015 Grand Concourse
Bronx, NY 104534303

Call 7182997295 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2015 Grand Concourse

Bronx, NY 104534303

Telephone 7182997295
Fax 7182996797
Organization at the Same NPPES Address or Phone
Essen Medical Associates, Pc Facility NPI 1366418709

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in New York, NY; Woodhaven, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare patients

44 people with Original Medicare in 2020

Different Original Medicare patients in 2020; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2020.

Medicare-allowed amount

About $8,485 in 2020

The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2020.

Paid by Medicare

About $6,783 in 2020

The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2020.

30-day fills

12 standardized 30-day fills in 2022

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$347 in 2022

The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2022.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $19.06 in 2019

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2019.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Boursiquot has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Boursiquot as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bronx and New York

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Boursiquot are from 2020.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Boursiquot are from 2022.

72 active clinicians are listed under General Practice with a practice address in Bronx, NY (683 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bronx

9.7% of these 72 clinicians have the CMS telehealth indicator.

26.4% of these 72 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2022), CMS Open Payments (2019), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2019

Program year 2019 (payments made January 1 โ€“ December 31, 2019): fewer than 11 records totaling $19.06.

Manufacturer Payment Nature Product Type Amount ($)
Amarin Pharma Inc.
Food and Beverage
In-kind items and services
Vascepa General $19.06

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2020.

CMS Part B ยท Data Year 2020
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2019 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2020; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
55 28 $121.33 $79.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
31 23 $159.00 $104.59
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
17 16 $78.00 $50.56

Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2022.

CMS Part D ยท Data Year 2022
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 12 360 $346.96 โ€”

Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-01
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES NY 277201

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

License # reported to NPPES PA MT205076

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20170808003114

Enrollment State Jurisdiction

NY

PECOS Control ID

2264675255

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2015 Grand Concourse

Bronx, NY 104534303

Phone: 7182997295

7924 Jamaica Ave

Woodhaven, NY 114211801

Phone: 7188050037

150 Riverside Dr

New York, NY 100242298

Phone: 6465053500

515 Madison Ave Ste 9083

New York, NY 100225403

Phone: 7189547338

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Daniel Addanki , MD

Internal Medicine - Nephrology

NPI 1023281342

Doctor of Medicine (M.D.)

Alan Alex

Physician Assistant

NPI 1033757695
Dr. Kaniz Banu , MD

Internal Medicine - Infectious Disease

NPI 1013171859

Doctor of Medicine (M.D.)

Latoya Betton , NP

Nurse Practitioner - Family

NPI 1003170275

Nurse Practitioner

Tandika Boatswain , NP

Nurse Practitioner - Family

NPI 1003163742

Nurse Practitioner

Dr. Paul Chen , DO

Family Medicine

NPI 1003310699

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

22 Historical Events
๐Ÿ“
Updated Practice Location March 19, 2021

Registered at 2015 GRAND CONCOURSE, BRONX, NY 104534303 (Tel: 7182997295)

๐Ÿ“
Updated Business Mailing Address March 19, 2021

Registered at 1436 WILLIAMSBRIDGE RD, BRONX, NY 104612507 (Tel: 7186180401)

๐Ÿข
Secondary Practice Location Registered March 19, 2021

Additional practice office at 2015 Grand Concourse, Bronx, NY 104534303

๐Ÿข
Secondary Practice Location Registered March 19, 2021

Additional practice office at 150 Riverside Dr, New York, NY 100242298

๐Ÿข
Secondary Practice Location Registered March 19, 2021

Additional practice office at 515 Madison Ave Ste 9083, New York, NY 100225403

๐Ÿข
Secondary Practice Location Registered March 19, 2021

Additional practice office at 7924 Jamaica Ave, Woodhaven, NY 114211801

๐Ÿ“
Updated Practice Location February 06, 2020

Registered at 150 RIVERSIDE DR, NEW YORK, NY 100242298 (Tel: 6465053500)

๐Ÿ“
Updated Business Mailing Address February 06, 2020

Registered at 150 EILEEN WAY UNIT 1, SYOSSET, NY 117915313 (Tel: 5168555255)

๐Ÿ“
Updated Practice Location August 13, 2019

Registered at 7924 JAMAICA AVE, WOODHAVEN, NY 114211801 (Tel: 7188050037)

โœ…
NPI Profile Active July 20, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location July 20, 2017

Registered at 2015 GRAND CONCOURSE, BRONX, NY 104534303 (Tel: 7182997295)

๐Ÿ“
Updated Business Mailing Address July 20, 2017

Registered at 3198 GRAND CONCOURSE, BRONX, NY 10458 (Tel: 7186180401)

๐Ÿ‘ค
Provider Name / Credentials Updated July 20, 2017

Recorded as JOHANE BOURSIQUOT, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2017

Family Medicine (license number reported to NPPES: PA MT205076)

๐Ÿ“
Updated Practice Location June 20, 2017

Registered at 2015 GRAND CONCOURSE, BRONX, NY 104534303 (Tel: 7182997295)

๐Ÿ“
Updated Business Mailing Address June 20, 2017

Registered at 3198 GRAND CONCOURSE, BRONX, NY 10458 (Tel: 7186180401)

โœ…
NPI Profile Active June 21, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 21, 2013

Registered at 1730 CHEW ST, ALLENTOWN, PA 181045549 (Tel: 6109693500)

๐Ÿ“
Business Mailing Address (Initial Record) June 21, 2013

Registered at 1730 CHEW ST, ALLENTOWN, PA 181045549 (Tel: 6109693500)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 21, 2013

Recorded as JOHANE BOURSIQUOT, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2013

Family Medicine (license number reported to NPPES: PA MT205076)

๐ŸŸข
Initial NPI Registration & Enumeration December 06, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275801219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2011
Last Update: March 19, 2021
Sole Proprietor: No

Other General Practices in Bronx

All General Practices in Bronx

Mailing Address

1436 Williamsbridge Rd

Bronx, NY 104612507

Phone: 7186180401

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.