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SOURAV BOSE MD
NPI 1346772639
Surgery in Houston, TX

Active since March 28, 2017PECOS Enrolled
6701 FANNIN ST STE 1210, HOUSTON, TX 77030(832) 822-3135 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Jul 6, 2017, Mar 28, 2017 (3 updates tracked since 2017).

About Sourav Bose Md NPPES

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

SOURAV BOSE MD (NPI 1346772639) is an individual surgery provider in Houston, Texas, licensed in Texas (W0876) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346772639
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSOURAV BOSECredential: MD
Location Address6701 FANNIN ST STE 1210Houston, TX 77030-2612
Mailing Address6701 Fannin St Ste 1210Houston, TX 77030-2612
Phone(832) 822-3135
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1346772639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · W0876
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License W0876 (TX)
6701 FANNIN ST STE 1210, Houston, TX 77030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5193284263
PECOS Enrollment IDI20260828001847
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 Sourav Bose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Children's Physician Group
0.1 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier16 claims12,000 services$1.21 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims3,030 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier27 claims5,220 services$1.00 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier22 claims22 services$18.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier20 claims33 services$12.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. EKENEDILICHUKWU AZUKA ONWUKA
Surgery (Pediatric Surgery)
6701 FANNIN ST STE 1210
HOUSTON, TX 77030
Harris County (219) 201-6791
JOANNE ELAINE ALTERS PA-C
Physician Assistant
6701 FANNIN ST STE 1210
HOUSTON, TX 77030
Harris County (832) 822-3135

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 Sourav Bose's NPI number?

The NPI number for Sourav Bose is 1346772639. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Sourav Bose located?

Sourav Bose practices at 6701 Fannin St Ste 1210, Houston, TX 77030. The listed phone number is (832) 822-3135.

What is Sourav Bose's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sourav Bose enrolled in Medicare?

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

Which organization bills Medicare for Sourav Bose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sourav Bose reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). 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 Sourav 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 Sourav Bose was last updated on August 18, 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.