Skip to content
NPISignal

Individual Healthcare Provider

Richard Justin Boruta, MD

NPI Record: ActivePediatrics — Pediatric Cardiology
NPI1043444722
Charlotte, North Carolina

Provider's NPPES record last updated: August 5, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1043444722
Primary Specialty
Pediatrics — Pediatric Cardiology
Practice Location
Charlotte, North Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:45 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Pediatric Cardiology

    Allopathic & Osteopathic Physicians

    Primary

    A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

    Taxonomy code 2080P0202X

Provider-Reported License Information

Pediatrics (North Carolina)
2015-00923
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1001 Blythe Blvd

Ste 500

Charlotte, North Carolina 28203-5866

Phone: (704) 373-1813

Additional Practice Location

9625 Northcross Center Ct

Ste 102

Huntersville, North Carolina 28078-7348

Phone: (704) 403-2860

Additional Practice Location

1781 Tate Blvd Se

Ste 203

Hickory, North Carolina 28602-4251

Phone: (704) 381-3970

Additional Practice Location

100 Medical Park Dr

Ste 310

Concord, North Carolina 28025-2948

Phone: (704) 403-2860

Additional Practice Location

1656 Riverchase Blvd

Suite 2500

Rock Hill, South Carolina 29732-2084

Phone: (803) 327-3456

Record Information

Enumeration Date
May 8, 2009
Provider's NPPES Record Last Updated
August 5, 2024
Certification Date
November 2, 2023
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue