DR. RAISON SUJAI BOSE DDS
NPI 1780815928
Dentist - Endodontics in Wauwatosa, WI

Q: What is Raison Bose's NPI number?

The NPI number for Raison Bose is 1780815928. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Q: What is Raison Bose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Raison Bose enrolled in Medicare?

No. Raison Bose has opted out of Medicare through April 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Raison Bose was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 06, 2009Opted out of Medicare · through Apr 6, 2028

2600 N MAYFAIR RD, SUITE 240, WAUWATOSA, WI 53226(414) 258-1500(414) 258-9353 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Raison Sujai Bose Dds NPPES

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

DR. RAISON SUJAI BOSE DDS (NPI 1780815928) is an individual endodontics provider in Wauwatosa, Wisconsin, licensed in Wisconsin (6750-015) and active in the NPI registry since August 2009. He has opted out of Medicare through April 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780815928

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. RAISON SUJAI BOSECredential: DDS

Location Address2600 N MAYFAIR RD, SUITE 240Wauwatosa, WI 53226-1309

Mailing Address2600 N Mayfair Rd, Suite 240Wauwatosa, WI 53226-1309 · (414) 258-1500 · Fax (414) 258-9353

Phone(414) 258-1500

Fax(414) 258-9353

Sole ProprietorNo

Enumeration DateAugust 6, 2009

Last NPPES UpdateApril 18, 2012

✔ NPI 1780815928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in WI · 6750-015

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

2600 N MAYFAIR RD, Wauwatosa, WI 53226

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Other Identifiers 1

OtherUTSA 887XTX · Texas State Board Of Dental Examiners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Raison Sujai Bose Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 6, 2016 through April 6, 2028.

Opt-Out Effective DateApril 6, 2016

Opt-Out In Effect ThroughApril 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

BERNADETTE DEMURI M.D.

Psychiatry & Neurology (Psychiatry)

2600 N MAYFAIR RD, SUITE #305
WAUWATOSA, WI 53226

Milwaukee County (414) 257-0233

JAY A. MET MD

Ophthalmology

2600 N MAYFAIR RD, #350
MILWAUKEE, WI 53226

Milwaukee County (414) 777-0110

DR. JEFFREY WARD KALENAK MD

Ophthalmology (Glaucoma Specialist)

2600 N MAYFAIR RD
MILWAUKEE, WI 53226

Milwaukee County (414) 266-4499

ASSOCIATED MENTAL HEALTH CONSULTANTS INC

Psychiatry & Neurology (Psychiatry)

2600 N MAYFAIR RD, SUITE #305
WAUWATOSA, WI 53226

Milwaukee County (414) 257-0233

FOREFRONT DERMATOLOGY, S.C.

Dermatology

2600 N MAYFAIR RD, MAYFAIR NORTH TOWER, SUITE 810
MILWAUKEE, WI 53226

Milwaukee County (414) 771-1122

DR. FREDERICK H REESER M.D.

Ophthalmology

2600 N MAYFAIR RD, STE 901
MILWAUKEE, WI 53226

Milwaukee County (414) 774-3484

MIRIAM SCHECHTER M.D.

Psychiatry & Neurology (Psychiatry)

2600 N MAYFAIR RD, SUITE 305
MILWAUKEE, WI 53226

Milwaukee County (414) 257-0233

DR. RICHARD V. KNOFF D.D.S.

Dentist (Endodontics)

2600 N MAYFAIR RD, SUITE 505
WAUWATOSA, WI 53226

Milwaukee County (414) 258-1500

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 Raison Bose's NPI number?

The NPI number for Raison Bose is 1780815928. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Raison Bose located?

Raison Bose practices at 2600 N Mayfair Rd Suite 240, Wauwatosa, WI 53226. The listed phone number is (414) 258-1500.

What is Raison Bose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Raison Bose enrolled in Medicare?

No. Raison Bose has opted out of Medicare through April 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Raison Bose accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Guardian and 2 other insurers list Raison Bose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raison Bose was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.