NPIMap

Individual provider Active NPI

Michael Dennis Bosak, MD

  • Interventional Cardiology Physician
  • Harrisburg, PA
National Provider Identifier
1447253612
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD055541L Issued in PA
Practice address
2808 Old Post Road
Harrisburg, PA 17110-3685
Phone
(717) 920-4400
Fax
(717) 920-4553
NPI assigned
May 23, 2005
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD055541L PA
Interventional Cardiology Physician 207RI0011X MD055541L PA Primary

Addresses

Primary practice location

2808 Old Post Road
Harrisburg, PA 17110-3685

Mailing address

2808 Old Post Rd
Harrisburg, PA 17110-3685
Phone (717) 920-4400

Other practice location 1

900 Century Dr Ste 100
Mechanicsburg, PA 17055-4525
Phone (717) 591-3660

Other practice location 2

300 Bretz Ct Ste 100
Newport, PA 17074-8615
Phone (717) 567-7246

Other identifiers 1

IdentifierTypeStateIssuer
001768690MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbosak5899@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060601000135 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0547237729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Cardiovascular Institute IncGroup PAC ID 6901087006, 117 clinicians

Practice addresses (Care Compare)

2808 Old Post Rd
Harrisburg, PA 17110-3685
Phone (717) 920-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.6 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
71.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Cardiovascular Institute Inc Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients

Locations

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2808 Old Post Rd
Harrisburg, PA 17110
Phone (717) 591-7122

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

900 Century Dr
Ste 100
Mechanicsburg, PA 17055
Phone (717) 591-3660

300 Bretz Ct
Newport, PA 17074
Phone (717) 567-7246

300 Bretz Ct
Ste 100
Newport, PA 17074
Phone (717) 567-3174

Interoperability endpoints

  • Direct secure messaging: mbosak282208@upmc.direct-ci.com

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1447253612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 OLD POST RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103685",
            "telephone_number": "717-920-4400",
            "fax_number": "717-920-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 OLD POST ROAD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103685",
            "telephone_number": "717-920-4400",
            "fax_number": "717-920-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Century Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554525",
            "country_code": "US",
            "telephone_number": "717-591-3660",
            "fax_number": "717-591-3661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bretz Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "PA",
            "postal_code": "170748615",
            "country_code": "US",
            "telephone_number": "717-567-7246",
            "fax_number": "717-703-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSAK",
        "first_name": "MICHAEL",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD055541L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD055541L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001768690",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbosak5899@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2808 Old Post Road",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171103685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.