Individual provider Active NPI

Bose Kalampanayil, PHD

  • Chemical Pathology Physician
  • Silver Spring, MD
National Provider Identifier
1205319159
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chemical Pathology PhysicianTaxonomy code 207ZP0104X
License
1411NRCC Issued in MD
Practice address
15315 Holly Grove Rd
Silver Spring, MD 20905-3862
Phone
(800) 270-1862
NPI assigned
Sep 6, 2018
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chemical Pathology Physician 207ZP0104X 1411NRCC MD Primary

Addresses

Primary practice location

15315 Holly Grove Rd
Silver Spring, MD 20905-3862

Mailing address

15315 Holly Grove Rd
Silver Spring, MD 20905-3862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1411NRCCMDMDChemical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Jude Laboratories LLC Current Accepting new patients
Vitalis Diagnostics Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1205319159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15315 HOLLY GROVE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209053862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 HOLLY GROVE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209053862",
            "telephone_number": "800-270-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAMPANAYIL",
        "first_name": "BOSE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0104X",
            "taxonomy_group": "",
            "desc": "Pathology, Chemical Pathology",
            "state": "MD",
            "license": "1411NRCC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.