BHASKAR DAVID S BOSE (NPI# 1265411060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265411060 |
| Entity Type | Individual |
| Full Name | BHASKAR DAVID S BOSE |
| Credential | MD |
| Practice Address |
1633 N Capitol Ave Ste 322 Indianapolis IN 46202-1476 |
| Mailing Address |
250 N Shadeland Ave Suite 130 - Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3179622929 |
| Practice Fax Number | 3179622070 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2014-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 01058365A | IN | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
01058365A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | P00393193 | 01 |
| IN | RAILROAD MEDICARE | P01271428 | 01 |
| IN | 200861410 | 05 |
| Street Address |
1633 N CAPITOL AVE STE 322 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537946 | Michele L. Saysana | Pediatrics | 1633 N Capitol Ave, Ste 236, Indianapolis, IN 46202-1261 | 2005-06-09 |
| 1740801711 | Eric Joseph Cooper | Nurse Practitioner | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2020-05-01 |
| 1922654227 | Allison Garrison | Nurse Practitioner | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2019-08-13 |
| 1811553662 | Heather R Martin | Nurse Practitioner | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2019-05-17 |
| 1902462286 | Anne Merrylees Dersch | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2019-05-13 |
| 1245720986 | Andrew Adams | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2018-05-17 |
| 1801385059 | Allison Kade Fox | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Methodist Tower, Ste 640, Indianapolis, IN 46202-1281 | 2018-05-03 |
| 1467958785 | Omar Bari | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2018-04-04 |
| 1487191276 | Angela Rhea Boyle | Nurse Practitioner | 1633 N Capitol Ave, Suite 322, Indianapolis, IN 46202-1261 | 2017-01-31 |
| 1598200156 | Emily Huesgen | Pharmacist | 1633 N Capitol Ave, Suite 300, Indianapolis, IN 46202-1261 | 2017-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1144227109 | Kirsten A Kahle | Family Medicine | 8450 N Payne Rd Ste 100, Indianapolis, IN 46268-6621 | 2005-07-06 |
| 1760011605 | Chrissy Jo Baker | Family Medicine | 10241 E County Road 100 N, Indianapolis, IN 46234-9016 | 2020-04-03 |
| 1407026099 | Colleen Cecilia Brown | Family Medicine | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659768356 | Mobile Medical Provider Inc | Family Medicine | 12045 Bodley Place, Fishers, IN 46037-3714 | 2015-04-20 |
| 1013137702 | Family Health Services, Inc. | Family Medicine | 526 N Central Ave, Connersville, IN 47331-2046 | 2007-04-26 |
| 1386862183 | Larrie Gene Rinck | Family Medicine | 1039 E 700 N, Alexandria, IN 46001-8740 | 2007-04-24 |
| 1871706143 | Obaseki Indiana Family Health Clinic, Prof. Corp. | Family Medicine | 1110 E Main St, Washington, IN 47501-3031 | 2007-05-07 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.