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KANCHANA BOSEROY MD
NPI 1417910076
Pediatrics - Developmental - Behavioral Pediatrics in Tucson, AZ

Active since April 06, 2006PECOS Enrolled
2141 N BEVERLY AVE STE 101, TUCSON, AZ 85712(520) 324-6290(520) 324-6291 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2019, Mar 17, 2018, Oct 23, 2017 (3 updates tracked since 2017).

About Kanchana Boseroy Md NPPES

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

KANCHANA BOSEROY MD (NPI 1417910076) is an individual developmental - behavioral pediatrics provider in Tucson, Arizona, licensed in Arizona (56115) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417910076
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameKANCHANA BOSEROYCredential: MD
Location Address2141 N BEVERLY AVE STE 101Tucson, AZ 85712-2155
Mailing AddressPo Box 31235Tucson, AZ 85751-1235 · (520) 324-2308 · Fax (520) 324-1406
Phone(520) 324-6290
Fax(520) 324-6291
Sole ProprietorYes
Enumeration DateApril 6, 2006
Last NPPES UpdateSeptember 26, 20233 updates tracked since enumeration
✔ NPI 1417910076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Licenses✔ Licensed in AZ · 56115✔ Licensed in NY · 200927
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License 200927 (NY)
2141 N BEVERLY AVE STE 101, Tucson, AZ 85712
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Secondary Practice Locations 2

Location 1653 N Town Center Dr Ste 112Las Vegas, NV 89144-0515 · Phone (702) 733-3098 ext. 104 · Fax (702) 733-9751
Location 214601 45th Ave, Rm 403Flushing, NY 11355-2200 · Phone (718) 670-5213 · Fax (718) 321-6004

Other Identifiers 3

OtherZ214068AZ · Medicare
Medicaid02235656NY
Medicaid336861AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanchana Boseroy 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 Reassignments

3

Medicare enrollment records show Kanchana Boseroy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmc Medical Network
0.3 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461
Southern California Permanente Medical Group
366 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044
Pokroy Medical Group Of Nevada, Ltd.
371 mi
Neonatal-Perinatal Medicine
653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144
  • Reassigned Medicare billing, Nevada enrollment
  • 150 clinicians in this Medicare group
NPI 1992809412 (702) 733-0981

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

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

SYDNEY CAIN RDN
Dietitian, Registered
2141 N BEVERLY AVE STE 101
TUCSON, AZ 85712
Pima County (520) 324-6290

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 Kanchana Boseroy's NPI number?

The NPI number for Kanchana Boseroy is 1417910076. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Kanchana Boseroy located?

Kanchana Boseroy practices at 2141 N Beverly Ave Ste 101, Tucson, AZ 85712. The listed phone number is (520) 324-6290.

What is Kanchana Boseroy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Kanchana Boseroy enrolled in Medicare?

Yes. Kanchana Boseroy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kanchana Boseroy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanchana Boseroy reassigns Medicare benefits to 3 organizations: Tmc Medical Network (Tucson, AZ), Southern California Permanente Medical Group (Hemet, CA) and Pokroy Medical Group Of Nevada, Ltd. (Las Vegas, NV). Each 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 Kanchana Boseroy'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 Kanchana Boseroy was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.