Individual provider Active NPI

Paul-Moreau Bossous, M.D.

  • Nephrology Physician
  • Mission, TX
National Provider Identifier
1487975439
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
50516 Issued in MT
Practice address
1904 River Bend Dr
Mission, TX 78572-7713
Phone
(956) 897-0304
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 50516 MT Primary
Internal Medicine Physician 207R00000X P8450 TX

Addresses

Primary practice location

1904 River Bend Dr
Mission, TX 78572-7713

Mailing address

1904 River Bend Dr
Mission, TX 78572-7713
Phone (956) 897-0304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20140226001271 GA Practitioner - Internal Medicine 9739319393
I20140616000289 TX Practitioner - Nephrology 9739319393 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2335 Central Blvd
Brownsville, TX 78520-8713
Phone (956) 709-1183

Hospital & facility affiliations

  • DaVita Brownsville Renal Center Dialysis facility, Brownsville, TX, CCN 452737
  • DaVita Fort Brown Dialysis Dialysis facility, Brownsville, TX, CCN 672777
  • US Renal Care Brownsville Dialysis Dialysis facility, Brownsville, TX, CCN 742744
  • FMC Dialysis Services of North Brownsville Dialysis facility, Brownsville, TX, CCN 452846
  • Valley Baptist Harlingen Dialysis Dialysis facility, Harlingen, TX, CCN 672665
  • Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662
  • Valley Baptist Medical Center- Brownsville Hospital, Brownsville, TX, CCN 450028
  • VHS Harlingen Hospital Company LLC Hospital, Harlingen, TX, CCN 450033

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50516MTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc Internal Medicine CurrentSince Apr 22, 2019 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Apr 7, 2016 Accepting new patients
Austin Critical Care Specialists PA CurrentSince Jul 10, 2016 Accepting new patients
Austin Critical Care Specialists PA CurrentSince Jul 10, 2016 Accepting new patients
Hni Medical Services Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
Tift Regional Health System Inc CurrentSince Apr 22, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 3, 2016 Accepting new patients

Locations

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

100 E Alton Gloor Blvd
#A
Brownsville, TX 78526
Phone (956) 350-7000

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: pbossous1489069@nychhc.direct-ci.com
  • Direct secure messaging: paul.bossous@direct.davitaphysiciansolutions.com

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1487975439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 RIVER BEND DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727713",
            "telephone_number": "956-897-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 RIVER BEND DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727713",
            "telephone_number": "956-897-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSOUS",
        "first_name": "PAUL-MOREAU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MT",
            "license": "50516",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P8450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.