Active NPI
Hemmo Alexander Bosscher, M.D.
- Interventional Pain Medicine Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- K3995
- Practice address
- 4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520 - Phone
- (806) 744-7223
- Fax
- (806) 740-3325
- NPI assigned
- May 24, 2005
- Last updated
- Nov 14, 2024
- 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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | K3995 | TX | Primary |
Addresses
Primary practice location
4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Mailing address
4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223
Other practice location 1
3505 22nd Pl
Lubbock, TX 79410-1315
Phone (806) 785-5700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170407401 | Medicaid | TX | |
| 108933105 | Other | TX | FIRSTCARE PROVIDER # |
| 8M7921 | Other | TX | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hbosscher1380001@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Interventional Pain Management
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23476 | TX | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Clinic of Lubbock | Current | Accepting new patients | |
| Grace Clinic of Lubbock | Interventional Pain Medicine | Current | Accepting new patients |
Locations
2804 N Loop 289
Lubbock, TX 79415
Phone (806) 740-3363
3505 22nd Pl
Lubbock, TX 79410
Phone (806) 785-5700
4515 Marsha Sharp Fwy
Lubbock, TX 79407
Phone 80674472232432
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
Interoperability endpoints
- hboss@yourcarecommunity.org
- hbosscher1380001@oc.providencedirect.org
- hemmo.bosscher@direct.myteamcare.com
Organizations & group practices 2
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.
-
dba Grace Clinic
- Family Medicine Physician
- Lubbock, TX
- NPI 1912953357
Interventional Pain Medicine
-
dba Expresscare Virtual
- Multi-Specialty Clinic/Center
- Lubbock, TX
- NPI 1770237042
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
dba Grace Surgical Hospital
- General Acute Care Hospital
- Lubbock, TX
- NPI 1225289499
-
dba Covenant Hospital Plainview
- General Acute Care Hospital
- Plainview, TX
- NPI 1073580726
-
dba Covenant Hospital Plainview
- Ambulatory Surgical Clinic/Center
- Plainview, TX
- NPI 1174630198
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1780687517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 MARSHA SHARP FWY",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794072520",
"telephone_number": "806-744-7223",
"fax_number": "806-740-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 MARSHA SHARP FWY",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794072520",
"telephone_number": "806-744-7223",
"fax_number": "806-740-3325"
}
],
"practiceLocations": [
{
"address_1": "3505 22nd Pl",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794101315",
"country_code": "US",
"telephone_number": "806-785-5700",
"fax_number": "806-516-5383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSSCHER",
"first_name": "HEMMO",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "K3995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170407401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE PROVIDER #",
"identifier": "108933105",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8M7921",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hbosscher1380001@oc.providencedirect.org",
"affiliation": "N",
"address_1": "3505 22nd Pl",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794101315",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.