Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649894924 Individual Practitioner Female Practitioner

Mimi Rosealie Borrelli

Plastic Surgery • Providence, RI

Professional Overview & Biography Verified Profile Summary

Mimi Borrelli is a registered healthcare professional specializing in Plastic Surgery in Providence, RI. Practice services are available at 593 EDDY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 6502838746
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Providence, RI (31 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-03
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License RI LP05003

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Green Card
219-177-128
Commercial Insurance / Payer ID License Number
LP05003

Secondary Practice Locations

25 Holden St Unit 2201

Providence, RI 029085792

Phone: 6502838746

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003012014

Doctor of Osteopathic Medicine (D.O.)

NPI 1003034877
Dr. Ga Hie Nam , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003264896

Doctor of Medicine (M.D.)

Eugenie Atallah

Psychiatry & Neurology - Neurology

NPI 1003392689
Dr. Brian Cao , MD

Student in an Organized Health Care Education/Training Program

NPI 1003496274

Doctor of Medicine (M.D.)

Bret Caulfield

Physician Assistant

NPI 1003512476

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2020

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 6502838746)

📍
Updated Business Mailing Address June 03, 2020

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 6502838746)

👤
Provider Name / Credentials Updated June 03, 2020

Recorded as MIMI BORRELLI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2020

Plastic Surgery (License #LP05003 in RI)

🟢
Initial NPI Registration & Enumeration June 03, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649894924
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2020
Last Update: June 03, 2020
Sole Proprietor: Yes

Mailing Address

593 Eddy St

Providence, RI 029034923

Phone: 6502838746

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.