Individual provider Active NPI

Chukwuka Henry Bosah, P.A.

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1740535236
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C04762 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 225-8000
NPI assigned
Jul 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C04762 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 225-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120821000850 MD Practitioner - Physician Assistant 0749437051 Reassigns benefits to 5 organizations
I20130830000374 DC Practitioner - Physician Assistant 0749437051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

10416 Campus Way S
Expresscare of Largo
Largo, MD 20774-1390
Phone (301) 316-9620

1307 Merritt Blvd
Dundalk, MD 21222-2109
Phone (410) 288-2121

1470 Martin Blvd
Middle River, MD 21220-4105
Phone (443) 231-5203

1505 E Churchville Rd
Bel Air, MD 21014-4742

3815 Wilkens Ave
Expresscare of Wilkens
Baltimore, MD 21229-5036
Phone (667) 212-5920

4900 Beaver Run CT
Ellicott City, MD 21043-7917
Phone (443) 542-9630

6000 Laurel Bowie Rd
Bowie, MD 20715-4000
Phone (301) 383-0330

7566 Ridge Rd
Hanover, MD 21076-1373
Phone (410) 904-5910

885 State Route 3 N
Expresscare of Gambrills
Gambrills, MD 21054-1620
Phone (443) 302-2297

Hospital & facility affiliations

  • Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C04762MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2023 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Feb 1, 2020 Accepting new patients
MNR Industries, LLC CurrentSince Aug 13, 2016 Accepting new patients
MNR Industries, LLC CurrentSince Aug 13, 2016 Accepting new patients
MNR Industries, LLC CurrentSince Nov 16, 2017 Accepting new patients
Medstar Urgent Care LLC CurrentSince Feb 1, 2020 Accepting new patients
MNR Industries LLC Current Accepting new patients
American Current Care PA CurrentSince Oct 1, 2018 Accepting new patients
Medstar Urgent Care LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

1419 Knecht Ave
Halethorpe, MD 21227
Phone (410) 247-9595

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: cbosah1104315@direct.umm.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1740535236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-225-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-225-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSAH",
        "first_name": "CHUKWUKA",
        "middle_name": "HENRY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.