Active NPI
Suzanne Allison Bosman, MD
- Diagnostic Radiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036127527
- Practice address
- 2525 S Michigan Ave
Chicago, IL 60616-2315 - Phone
- (312) 567-2899
- NPI assigned
- Jul 7, 2008
- Last updated
- Jul 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036127527 | IL | Primary |
Addresses
Primary practice location
2525 S Michigan Ave
Chicago, IL 60616-2315
Mailing address
2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (312) 567-2899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Chicago College of Medicine and Surgery, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 W State Rd
Suite 2
La Porte, IN 46350-5465
Phone (574) 258-1100
102 E Culver Rd
Northwest Health Starke Hospital
Knox, IN 46534-2216
Phone (574) 772-6231
1020 High Rd
Bremen, IN 46506-1093
Phone (574) 546-2211
1115 Professional Dr
Goshen, IN 46526-3800
Phone (574) 364-4850
1135 Professional Dr
Goshen, IN 46526-3800
Phone (574) 364-4000
1331 State St
La Porte, IN 46350-3112
Phone (219) 326-1234
200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 535-2693
303 S Nappanee St
Elkhart Clinic
Elkhart, IN 46514-2066
Phone (574) 296-3365
3202 Greyfox Dr
Valparaiso, IN 46383-2681
Phone (574) 258-1100
6901 N Main St
Memorial Lighthouse Imaging Center
Granger, IN 46530-8022
Phone (574) 647-2900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036127527 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Beacon Health, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Beacon Health, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
1020 High Rd
#O
Bremen, IN 46506
Phone (574) 284-3086
303 S Nappanee St
Elkhart, IN 46514
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
1115 Professional Dr
Goshen, IN 46526
Phone (574) 364-4850
1135 Professional Dr
Goshen, IN 46526
Phone (574) 364-4600
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
6901 N Main St
Granger, IN 46530
Phone (574) 647-2900
102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580
620 W Edison Rd
Ste 110
Mishawaka, IN 46545
Phone 5742581100 ext. 239
100 Navarre Pl
Ste 5500
South Bend, IN 46601
Phone (574) 647-5200
100 Navarre Pl
Ste 6655
South Bend, IN 46601
Phone (574) 284-6850
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
Interoperability endpoints
- sbosman523935@direct.franciscanalliance.org
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Mishawaka, IN
- NPI 1578557815
-
dba Beacon Imaging Mishawaka
- Diagnostic Radiology Physician
- Mishawaka, IN
- NPI 1912796699
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
dba Northwest Health- Starke
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1477716702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162315",
"telephone_number": "312-567-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162315",
"telephone_number": "312-567-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSMAN",
"first_name": "SUZANNE",
"middle_name": "ALLISON",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036127527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.