Johane Gildade Boursiquot, M.D.
NPI 1275801219ActiveIndividual· General Practice· Bronx, NY
General Practice (M.D.) in Bronx, New York, licensed in NY and PA, with an NPI issued in December 2011. Enrolled in Medicare as practitioner - general practice.
Overview
| NPI | 1275801219 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 6, 2011 |
| Last updated in NPPES | Mar 19, 2021 |
| Certified by provider | Jan 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 277201 | NY |
| Family Medicine | 207Q00000X | MT205076 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (NY) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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