Sanjay Bose, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

43907 Issued in KY

Practice address

2601 Kentucky Ave Ste 402
Paducah, KY 42003-3827

Phone

(270) 575-3113

Fax

(270) 575-3135

NPI assigned

Jul 28, 2005

Last updated

May 13, 2021By 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 5

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL, KY2 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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caldwell County Hospital, IncGroup PAC ID 0749275014, 25 clinicians

Trigg County Hospital, IncGroup PAC ID 5193620805, 33 clinicians

Livingston Hospital and Healthcare Services, Inc.Group PAC ID 5799692547, 16 clinicians

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Massac Memorial HospitalGroup PAC ID 3072422799, 15 clinicians

Crittenden Community Hospital LLCGroup PAC ID 8426398793, 17 clinicians

Hardin County General HospitalGroup PAC ID 2365400272, 9 clinicians

Marshall County Hospital DistrictGroup PAC ID 3375581986, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
• Hardin County General Hospital & Clinic Hospital, Rosiclare, IL, CCN 141328
• Marshall County Hospital Hospital, Benton, KY, CCN 181327
• Livingston Hospital and Healthcare Services, Inc Hospital, Salem, KY, CCN 181320
• Caldwell Medical Center Hospital, Princeton, KY, CCN 181322

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100Reported as apm

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb
• FHIR API: https://fhir4.healow.com/fhir/r4/GIDFCD
• Direct secure messaging: sanjay.bose@caldmedassoc.eclinicaldirectplus.com
• Direct secure messaging: sbose6076@bhkydirect.com
• Direct secure messaging: sbose63621@sih.direct-ci.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.

• Baptist Health Medical Group Inc

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922401611

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Caldwell County Hospital, Inc

  dba Caldwell Medical Associates

  • Physician Assistant
  • Princeton, KY
  • NPI 1891207460

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Crittenden Community Hospital LLC

  dba Crittenden Community Hospital

  • Emergency Medicine Physician
  • Marion, KY
  • NPI 1275097339

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Livingston Hospital and Healthcare Services, Inc.

  • Critical Access Hospital
  • Salem, KY
  • NPI 1588640254
  Medicare reassignment Care Compare group NPD
• Marshall County Hospital District

  dba Marshall Co Surgical & Medical Group

  • Family Medicine Physician
  • Benton, KY
  • NPI 1689778250

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Trigg County Hospital, Inc

  • Critical Access Hospital
  • Cadiz, KY
  • NPI 1538218680

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Hardin County General Hospital

  • Critical Access Hospital
  • Rosiclare, IL
  • NPI 1538165600
  Medicare reassignment Care Compare group NPD
• Massac Memorial Hospital

  • Critical Access Hospital
  • Metropolis, IL
  • NPI 1790788578
  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• Caldwell County Hospital, Inc

  • Occupational Medicine Physician
  • Princeton, KY
  • NPI 1780688333
  NPD
• Caldwell County Hospital, Inc.

  dba Caldwell Medical Associates

  • Rural Health Clinic/Center
  • Eddyville, KY
  • NPI 1780464826
  NPD
• Crittenden Community Hospital LLC

  dba Sturgis Family Care

  • Clinic/Center
  • Sturgis, KY
  • NPI 1013727882
  NPD

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

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation
• Caldwell County Hospital, Inc

  • Occupational Medicine Physician
  • Princeton, KY
  • NPI 1780688333

  Hospital

  Care Compare affiliation
• Livingston Hospital and Healthcare Services, Inc.

  • Critical Access Hospital
  • Salem, KY
  • NPI 1588640254
  Care Compare affiliation
• Marshall County Hospital District

  • Critical Access Hospital
  • Benton, KY
  • NPI 1568528594
  Care Compare affiliation
• Hardin County General Hospital

  • Critical Access Hospital
  • Rosiclare, IL
  • NPI 1538165600
  Care Compare affiliation

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1225038698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "address_2": "SUITE 306",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033800",
            "telephone_number": "270-415-7653",
            "fax_number": "270-575-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 KENTUCKY AVE STE 402",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033827",
            "telephone_number": "270-575-3113",
            "fax_number": "270-575-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSE",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-095984",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-095984",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "43907",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "43907",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IL",
            "license": "036-095984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095984",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100164760",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbose6076@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2601 Kentucky Ave Ste 402",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420033827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sherry Bone, LPP
• Whitny J Booher
• Thomas M Boone-Abraham, PHARMD
• Madison Boone, PT, DPT
• Ted Borodofsky, M.D.
• Macey E Boutwell
• Natalie Boward
• Beth Nicole Bowden
• Van A Bowden, RPH
• Karlie Marie Bowen

• Interventional Cardiology Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Interventional Cardiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.