HAROLD J.P. VAN BOSSE MD
NPI 1730176678
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Saint Louis, MO
About Harold J.p. Van Bosse Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAROLD J.P. VAN BOSSE MD (NPI 1730176678) is an individual pediatric orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (2022040078) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Harold J.p. Van Bosse Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Harold Van Bosse reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Babylon, NY 11702
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Samaritan Pediatric Services PC
- 55 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Hospital Medical Center
Acute Care Hospitals · West Islip, NYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
ST.LOUIS, MO 63104
SAINT LOUIS, MO 63104
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 Harold Van Bosse's NPI number?
The NPI number for Harold Van Bosse is 1730176678. It was assigned to this individual provider in the NPPES registry on October 5, 2005.
Where is Harold Van Bosse located?
Harold Van Bosse practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-4102.
What is Harold Van Bosse's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.
Is Harold Van Bosse enrolled in Medicare?
Yes. Harold Van Bosse is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Harold Van Bosse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Harold Van Bosse reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Samaritan Pediatric Services, P.C. (Babylon, NY). 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 Harold Van Bosse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Harold Van Bosse affiliated with any hospitals?
According to CMS data, Harold Van Bosse is affiliated with Good Samaritan Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Harold Van Bosse was last updated on November 2, 2022. 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.
# Harold J.p. Van Bosse, MD · NPI 1730176678
Pediatric Orthopaedic Surgery physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since October 5, 2005.
## Identity
- **NPI:** 1730176678 (Entity type: Individual)
- **Enumerated:** October 5, 2005
- **Primary specialty:** Orthopaedic Surgery - Pediatric Orthopaedic Surgery · taxonomy 207XP3100X
- **State license:** 2022040078 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1465 S GRAND BLVD, Saint Louis, MO 63104-1003
- **Phone:** (314) 977-4102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Group (NPI 1306589544, Saint Louis, MO); Samaritan Pediatric Services, P.C. (NPI 1730308925, Babylon, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1989
## Record status
- **NPPES last updated:** November 2, 2022
- **Other identifiers:** Medicaid 01640257 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1730176678) · Data from the CMS NPPES public registry.