Individual provider Active NPI

Thanga G Bosemani

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1841871126
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R207565 Issued in MD
Practice address
1232 Race Rd Ste 403
Rosedale, MD 21237-2386
Phone
(443) 868-7101
Fax
(443) 732-0054
NPI assigned
Apr 18, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R207565 MD Primary
Adult Medicine Physician 207QA0505X R207565 MD

Addresses

Primary practice location

1232 Race Rd Ste 403
Rosedale, MD 21237-2386

Mailing address

1232 Race Rd Ste 403
Rosedale, MD 21237-2386
Phone (443) 248-1929

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Rosedale
Other URL Rosedale

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20210609003626 DC Practitioner - Nurse Practitioner 4284034414 Reassigns benefits to 2 organizations
I20210609003637 MD Practitioner - Nurse Practitioner 4284034414 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimize Medical GroupGroup PAC ID 0446512040, 31 clinicians
Synergy Medical Group LLCGroup PAC ID 0749644177, 102 clinicians

Practice addresses (Care Compare)

1051 Brightseat Rd
Landover, MD 20785-3738
Phone (240) 487-4400

1205 York Rd
Suite 11
Timonium, MD 21093-6211
Phone (443) 325-0031

313 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 761-1222

Merit-based Incentive Payment System (MIPS)

Final score
21.76 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
72.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Group LLC CurrentSince Sep 1, 2023 Accepting new patients
Synergy Medical Group LLC CurrentSince Sep 1, 2023 Accepting new patients
Apex Healthcare, LLC CurrentSince May 16, 2022 Accepting new patients
Symphony Medical Associates, PA CurrentSince Jul 1, 2021 Accepting new patients
Apex Healthcare, LLC CurrentSince May 16, 2022 Accepting new patients
Synergy Medical Group LLC CurrentSince Sep 1, 2023 Accepting new patients
Synergy Medical Group LLC Current Accepting new patients
Optimize Medical Group CurrentSince Jun 1, 2021 Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

821 N Eutaw St
Ste 308
Baltimore, MD 21201
Phone (410) 383-2072

313 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 553-8092

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

7 Sudbrook Ln
Pikesville, MD 21208
Phone (410) 205-8440

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

1232 Race Rd
Ste 403
Rosedale, MD 21237
Phone (480) 878-7806

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

7801 York Rd
Ste 240
Towson, MD 21204
Phone (410) 323-9214

2729 King St
Alexandria, VA 22302
Phone (703) 744-0155

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1841871126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 RACE RD STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372386",
            "telephone_number": "443-248-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE RD STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372386",
            "telephone_number": "443-868-7101",
            "fax_number": "443-732-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSEMANI",
        "first_name": "THANGA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R207565",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "R207565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rosedale",
            "affiliation": "N",
            "address_1": "1232 Race Rd Ste 403",
            "city": "Rosedale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212372386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rosedale",
            "affiliation": "N",
            "address_1": "1232 Race Rd Ste 403",
            "city": "Rosedale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212372386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.