Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Pulkit Bose's specialty?

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

Q: 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 10 days 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.

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: August 09, 2026.

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

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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

Phone(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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

U.S. HEALTHWORKS MEDICAL GROUP, PC

Clinic/Center (Urgent Care)