Active NPI
Sumit Bose, M.D.
- Allergy & Immunology Physician
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- Q9299
- Practice address
- 425 University Blvd
Round Rock, TX 78665-1047 - Phone
- (512) 509-0200
- NPI assigned
- Apr 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 036.134423 | IL | |
| Allergy & Immunology Physician | 207K00000X | Q9299 | TX | Primary |
Addresses
Primary practice location
425 University Blvd
Round Rock, TX 78665-1047
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbose258293@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161019000016 | TX | Practitioner - Allergy/Immunology | 2860797586 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- George Washington University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12436 Gregg Manor Rd
Manor, TX 78653-4138
Phone (512) 654-4400
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
2608 Brockton Dr
Austin, TX 78758-4414
Phone (512) 654-4050
3108 Ranch Rd 620
Lakeway, TX 78738-5635
Phone (512) 654-4200
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
- Baylor Scott & White Medical Center - Round Rock
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.134423 | IL | MD | Allergy & Immunology Physician |
| Q9299 | TX | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Scott and White Clinic | Current | Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000
425 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100
425 University Blvd
Ste 340
Round Rock, TX 78665
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Interoperability endpoints
- sbose258293@direct.sw.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
- Radiation Oncology Physician
- Waxahachie, TX
- NPI 1821475153
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1265568638
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1306163902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 UNIVERSITY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651047",
"telephone_number": "512-509-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSE",
"first_name": "SUMIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-23",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": "036.134423",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "Q9299",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbose258293@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "425 University Blvd",
"city": "Round Rock",
"state": "TX",
"country_code": "US",
"postal_code": "786651047",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.