Active NPI
Chukwuka Henry Bosah, P.A.
- Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C04762
- 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
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 |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C04762 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Medstar Urgent Care, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| MNR Industries LLC | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1457478703
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1912911215
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- Urgent Care Clinic/Center
- Edgewater, MD
- NPI 1174804918
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1942623319
-
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
- Urgent Care Clinic/Center
- Upper Marlboro, MD
- NPI 1194195008
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.