Individual provider Active NPI

Rahul Bose, MD

  • Interventional Cardiology Physician
  • New Braunfels, TX
National Provider Identifier
1205044633
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M8550 Issued in TX
Practice address
479 Oxford Dr Ste 104
New Braunfels, TX 78130-5479
Phone
(830) 214-0300
Fax
(830) 214-0397
NPI assigned
May 18, 2007
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M8550 TX
Nuclear Cardiology Physician 207UN0901X M8550 TX
Interventional Cardiology Physician 207RI0011X M8550 TX Primary

Addresses

Primary practice location

479 Oxford Dr Ste 104
New Braunfels, TX 78130-5479

Mailing address

479 Oxford Dr Ste 104
New Braunfels, TX 78130-7423
Phone (830) 814-0300

Other identifiers 2

IdentifierTypeStateIssuer
M8550OtherTXMEDICAL LICENSE
8CU246OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090812000825 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 4284788050 Reassigns benefits to 2 organizations
I20210922003159 HI Practitioner - Interventional Cardiology 4284788050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Nuclear Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lone Star Heart and Vascular Clinic PAGroup PAC ID 5698194025, 13 clinicians
Island Cardiovascular and Vein Institute LLCGroup PAC ID 0547667222, 6 clinicians

Practice addresses (Care Compare)

1340 Wonder World Dr
Suite 4201
San Marcos, TX 78666-8185
Phone (512) 753-3757

75 Puuhonu PL
Suite 101
Hilo, HI 96720-2000
Phone (808) 769-4197

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting75
Pacemaker insertion or repair1-10
Varicose vein removal12
Leg revascularization (restoring blood flow)14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Sep 24, 2019 Accepting new patients
Lone Star Heart and Vascular Clinic PA Cardiovascular Disease CurrentSince Oct 1, 2020 Accepting new patients
Christus Trinity Clinic Texas Cardiovascular Disease CurrentSince Sep 24, 2019 Accepting new patients

Locations

2115 Stephens Pl
Ste 1330
New Braunfels, TX 78130
Phone (210) 545-3103

2055 Central Plz
Ste 110
New Braunfels, TX 78130
Phone (512) 598-1530

2115 Stephens Pl
Ste 1300
New Braunfels, TX 78130

479 Oxford Dr
Ste 104
New Braunfels, TX 78130
Phone (830) 214-0300

1340 Wonder World Dr
Ste 4201
San Marcos, TX 78666
Phone (512) 268-8900

1340 Wonder World Dr
Ste 4202
San Marcos, TX 78666
Phone (512) 667-6816

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: rbose@lonestarheart.kareodirect.com
  • Direct secure messaging: rbose212956@christushealth.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1205044633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 OXFORD DR STE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307423",
            "telephone_number": "830-814-0300",
            "fax_number": "830-214-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 OXFORD DR STE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305479",
            "telephone_number": "830-214-0300",
            "fax_number": "830-214-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSE",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M8550",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "M8550",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "M8550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "M8550",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CU246",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.