Raj K Bose, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

27633 Issued in AZ

Practice address

2404 E River Rd
BLD.2, Ste 100
Tucson, AZ 85718

Phone

(520) 696-4780

Fax

(520) 408-1847

NPI assigned

Feb 6, 2006

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ, MI, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Thoracic Surgery

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Pima Heart Physicians PCGroup PAC ID 6507751294, shared by 2 NPIs, 65 clinicians

Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: raj.bose@ushv.eclinicaldirectplus.com

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.

• Bon Secours Medical Group Hampton Roads Specialty Care LLC

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1629637475

  Surgery

  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490
  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Primary Care Towne Centre

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1326658154
  Medicare reassignment Care Compare group NPD
• Pima Heart Physicians, PC

  dba Pima Heart & Vascular

  • Cardiovascular Disease Physician
  • Tucson, AZ
  • NPI 1730137480

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  Medicare reassignment NPD
• Pima Heart Physicians, PC

  dba Pima Heart & Vascular

  • Cardiac Rehabilitation Registered Nurse
  • Sahuarita, AZ
  • NPI 1962259812
  Medicare reassignment NPD
• Bon Secours Medical Group Richmond Specialty Care LLC

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1477112225

  Surgery

  Medicare reassignment NPD
• Pima Heart Physicians, PC

  dba Pima Heart & Vascular

  • Cardiovascular Disease Physician
  • Sierra Vista, AZ
  • NPI 1003081803

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD
• Bon Secours Medical Group Hampton Roads Specialty Care LLC

  dba Southampton Orthopaedic and Sports Medicine Center

  • Durable Medical Equipment & Medical Supplies
  • Franklin, VA
  • NPI 1205451028
  NPD
• Bon Secours Medical Group Richmond Specialty Care LLC

  dba Bon Secours Orthopedic Specialists

  • Durable Medical Equipment & Medical Supplies
  • Midlothian, VA
  • NPI 1841029287
  NPD
• Mymichigan Medical Center Midland

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1649010455
  NPD
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Cardiothoracic Surgical Associates Saginaw

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Saginaw, MI
  • NPI 1154087914
  NPD
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Riverfront Cardiology

  • Cardiovascular Disease Physician
  • Saginaw, MI
  • NPI 1467736132
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Hospital LLC

  dba Northwest Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784
  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1093787749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-838-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 E RIVER RD",
            "address_2": "BLD.2, STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "telephone_number": "520-696-4780",
            "fax_number": "520-408-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSE",
        "first_name": "RAJ",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101051207",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "27633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "515661",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "330005254",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "ZWCGCR",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos J Borras, MD
• Gina Marie Borras, MPT
• Deanna Borseth
• Cristiana Bortuzzo, MD
• Justin Allen Bortz, D.M.D.
• Sudeshna C Bose, MD
• Kanchana Boseroy, MD
• Krasen Boshnakov, PHARMD
• Myles Horace Mireku Bosompem, MD
• Sara Elizabeth Bossom, LMT

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.

Verify at the official NPI Registry.