Individual provider Active NPI

Robert Charles Vanden Bosche, MD

  • Family Medicine Physician
  • Catonsville, MD
National Provider Identifier
1902850381
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D57461 Issued in MD
Practice address
6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923
Phone
(667) 234-2100
Fax
(667) 234-2944
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D57461 MD Primary

Addresses

Primary practice location

6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923

Mailing address

6501 Baltimore National Pike Ste D
Catonsville, MD 21228-3923
Phone (667) 234-2100

Other identifiers 1

IdentifierTypeStateIssuer
699737600MedicaidMD

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081111000282 MD Practitioner - Family PracticePractitioner - Other (Physician) 5193884708 Reassigns benefits to 2 organizations
I20260401004091 DC Practitioner - Family Practice 5193884708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

2850 N Ridge Rd
Suite 103
Ellicott City, MD 21043-3396
Phone (410) 465-8119

6501 Baltimore National Pike
Suite D
Catonsville, MD 21228-3923
Phone (667) 234-2100

6501 Baltimore National Pike D
Covid Vaccine Clinic
Catonsville, MD 21228-3923
Phone (667) 234-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D57461MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc Family Medicine CurrentSince Oct 17, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Frederick Primary Care Associates, P.a. Family Medicine PastSince Jan 1, 1997 Accepting new patients
Washington County Emergency Medicine Physicians, LLC Past Accepting new patients
St. Claire Medical Center Inc. Past Accepting new patients

Locations

6501 Baltimore National Pike
Ste D
Catonsville, MD 21228
Phone (667) 234-2100

6501 Baltimore National Pike
Catonsville, MD 21228
Phone (410) 740-0549

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

Interoperability endpoints

  • Direct secure messaging: robert.vandenbosche.1@14940.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1902850381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 BALTIMORE NATIONAL PIKE STE D",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283923",
            "telephone_number": "667-234-2100",
            "fax_number": "667-234-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 BALTIMORE NATIONAL PIKE STE D",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283923",
            "telephone_number": "667-234-2100",
            "fax_number": "667-234-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN BOSCHE",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D57461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699737600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.