DR. PULKIT SAWROOP BOSE MD
NPI 1245803113
General Practice in Modesto, CA

Active since July 20, 2021PECOS Enrolled
1340 MITCHELL RD, MODESTO, CA 95351(209) 581-9711 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 2, 2026, Aug 7, 2024, Jul 20, 2021 (3 updates tracked since 2021).

About Dr. Pulkit Sawroop Bose Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PULKIT SAWROOP BOSE MD (NPI 1245803113) is an individual general practice provider in Modesto, California, licensed in California (A209003) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1245803113
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PULKIT SAWROOP BOSECredential: MD
Location Address1340 MITCHELL RDModesto, CA 95351-4920
Mailing Address1340 Mitchell RdModesto, CA 95351-4920 · (209) 581-9711
Sole ProprietorYes
Enumeration DateJuly 20, 2021
Last NPPES UpdateAugust 2, 20263 updates tracked since enumeration
NPPES CertifiedAugust 2, 2026
✔ NPI 1245803113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A209003
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License A209003 (CA)
1340 MITCHELL RD, Modesto, CA 95351

Secondary Practice Location 1

Location 1140 E Granger AveModesto, CA 95350-4347 · Phone (209) 575-5801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pulkit Sawroop Bose Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pulkit Bose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
1524 MCHENRY AVE STE 135
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 304 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
1340 MITCHELL RD
MODESTO, CA 95351
Physical Therapist
1340 MITCHELL RD
MODESTO, CA 95351
Physician Assistant
1340 MITCHELL RD
MODESTO, CA 95351
Physician Assistant
1340 MITCHELL RD
MODESTO, CA 95351
Nurse Practitioner (Adult Health)
1340 MITCHELL RD
MODESTO, CA 95351
Clinic/Center (Occupational Medicine)
1340 MITCHELL RD
MODESTO, CA 95351
Clinic/Center (Urgent Care)
1340 MITCHELL RD
MODESTO, CA 95351

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pulkit Bose's NPI number?

The NPI number for Pulkit Bose is 1245803113. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Pulkit Bose located?

Pulkit Bose practices at 1340 Mitchell Rd, Modesto, CA 95351. The listed phone number is (209) 581-9711.

What is Pulkit Bose's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Pulkit Bose enrolled in Medicare?

Yes. Pulkit Bose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pulkit Bose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pulkit Bose reassigns Medicare benefits to American Current Care Of California, A Medical Corporation (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pulkit Bose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pulkit Bose was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.