Active NPI
Thomas A Bostaph, CRNP
- Adult Health Nurse Practitioner
- Cumberland, MD
National Provider Identifier
1093769127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R087737
- Practice address
- 1602 Ford Ave
Cumberland, MD 21502-4612 - Phone
- (301) 759-4544
- Fax
- (301) 723-4446
- NPI assigned
- May 22, 2006
- Last updated
- Feb 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R087737 | MD | Primary |
Addresses
Primary practice location
1602 Ford Ave
Cumberland, MD 21502-4612
Mailing address
1602 Ford Ave
Cumberland, MD 21502-4612
Phone (301) 759-4544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342102300 | Medicaid | MD | |
| 754LA787 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1602 Ford Ave
Cumberland, MD 21502-4612
Phone (301) 759-4544
Hospital & facility affiliations
- Upmc Western Maryland
- Upmc Western Maryland
- Western Maryland Regional Medical Center
- Potomac Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.69 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Primary Care Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1602 Ford Ave
Cumberland, MD 21502
Phone (301) 759-4544
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Cumberland, MD
- NPI 1508166752
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Upmc Western Maryland Center for Hope and Healing
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
dba UPMC Western Maryland
- Inpatient Hospice
- Cumberland, MD
- NPI 1457317455
-
dba UPMC Western Maryland
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
dba UPMC Western Maryland
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
-
dba UPMC Western Maryland
- Clinic/Center
- Cumberland, MD
- NPI 1780251850
Hospital
-
dba UPMC Western Maryland
- Home Health Agency
- Cumberland, MD
- NPI 1821055393
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1093769127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 FORD AVE",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215024612",
"telephone_number": "301-759-4544",
"fax_number": "301-723-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 FORD AVE",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215024612",
"telephone_number": "301-759-4544",
"fax_number": "301-723-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTAPH",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R087737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342102300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "754LA787",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.