1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Internal Medicine
  6. NPI Profile

DR. JOSE BOSSBALY M.D.
NPI 1376551101
Internal Medicine in Philadelphia, PA

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
136 DIAMOND ST, PHILADELPHIA, PA 19122(215) 426-8100(215) 965-2344 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jose Bossbaly M.d. NPPES

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

DR. JOSE BOSSBALY M.D. (NPI 1376551101) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD040261L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1376551101
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSE BOSSBALYCredential: M.D.
Location Address136 DIAMOND STPhiladelphia, PA 19122-1721
Mailing Address136 Diamond StPhiladelphia, PA 19122-1721 · (215) 426-8100 · Fax (215) 965-2344
Phone(215) 426-8100
Fax(215) 965-2344
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateAugust 4, 2006
Last NPPES UpdateNovember 7, 2018
✔ NPI 1376551101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD040261L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
136 DIAMOND ST, Philadelphia, PA 19122
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose Bossbaly M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870515125
PECOS Enrollment IDI20051229000636
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
198 services70 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
154 services61 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
134 services68 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
95 services37 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
48 services18 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
30 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19122 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers32 claims68 services$6.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers27 claims27 services$2.64 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers32 claims32 services$29.13 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers18 claims1,894 services$0.03 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
3 suppliers11 claims390 services$0.79 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers31 claims31 services$184.87 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 18

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

MRS. MYRYAN A. LIZAMA
Counselor (Mental Health)
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (267) 271-6199
KENSINGTON HOSPITAL
General Acute Care Hospital
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
KATHERYN KUCHARSKI
Social Worker
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION
Community/Behavioral Health
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
CHAUDHRY & ASSOCIATES, INC.
Dentist
136 DIAMOND ST, DENTAL CLINIC
PHILADELPHIA, PA 19122
Philadelphia County (215) 291-6004
KENSINGTON HOSPITAL
Clinical Medical Laboratory
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
KENSINGTON HOSPITAL- INTENSIVE OUTPATIENT PROGRAM
Clinic/Center (Methadone)
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
KENSINGTON HOSPITAL- FAMILY PLANNING CLINIC
Clinic/Center (Ambulatory Family Planning Facility)
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100

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 Jose Bossbaly's NPI number?

The NPI number for Jose Bossbaly is 1376551101. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Jose Bossbaly located?

Jose Bossbaly practices at 136 Diamond St, Philadelphia, PA 19122. The listed phone number is (215) 426-8100.

What is Jose Bossbaly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Bossbaly enrolled in Medicare?

Yes. Jose Bossbaly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jose Bossbaly was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.