Alexandra Charlotte Bosse, M.D
Individual provider Active NPI Family Medicine Physician · Bartlett, IL
NPI 1457791436 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1457791436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036-138736 (IL)
- Practice address
- 1124 W Stearns Rd
Bartlett, IL 60103-4546 - Phone
- (630) 213-7788
- Fax
- (630) 289-8450
- NPI assigned
- Jul 5, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dupage Medical Group LTD
Practice addresses (Care Compare)
1124 W Stearns Rd
Bartlett, IL 60103-4546
Phone (630) 213-7788
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161108001564 | WI | Practitioner - Family Practice | 0749569101 | |
| I20240212001731 | IL | Practitioner - Family Practice | 0749569101 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current |
Accepting new patients | |
| Dupage Medical Group LTD | Current |
Accepting new patients |
Locations
1124 W Stearns Rd
Bartlett, IL 60103
Phone (630) 213-7788
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
Interoperability endpoints
- abosse178934@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-138736 | IL | Yes |
Addresses
Primary practice location
1124 W Stearns Rd
Bartlett, IL 60103-4546
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
N84W16889 Menomonee Ave
Menomonee Falls, WI 53051-2810
Phone (262) 251-7500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abosse178934@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | abosse266072@dulyhealthandcare.direct-ci.com | Direct |
Other providers in Bartlett, IL
- Bamini Blau
- Robert Blau
- Bloom Trauma Therapy
- Bonaventure Medical Foundation
- Allyson Borkowicz
- Abby Bouldin
- Michele Branka
- Brewster Creek Speech and Language Therapy
- Patricia Brillo
- Kristie Brockway
All providers in Bartlett, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.