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ANDREW BOSOMWORTH DO
NPI 1992384549
Internal Medicine - Hospice and Palliative Medicine in Oakland, CA

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
3100 SUMMIT ST STE G580, OAKLAND, CA 94609(510) 204-3410 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2025, Dec 22, 2021, Dec 17, 2021 and 1 more (4 updates tracked since 2021).

About Andrew Bosomworth Do NPPES

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

ANDREW BOSOMWORTH DO (NPI 1992384549) is an individual hospice and palliative medicine provider in Oakland, California, licensed in California (20A22663) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992384549
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameANDREW BOSOMWORTHCredential: DO
Location Address3100 SUMMIT ST STE G580Oakland, CA 94609-3412
Mailing Address3100 Summit St Ste G580Oakland, CA 94609-3412
Phone(510) 204-3410
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 2, 2021
Last NPPES UpdateAugust 8, 20254 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1992384549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in CA · 20A22663
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
3100 SUMMIT ST STE G580, Oakland, CA 94609
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Secondary Practice Location 1

Location 12001 Dwight WayBerkeley, CA 94704-2608 · Phone (510) 204-3410

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Bosomworth Do 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 ID3375042013
PECOS Enrollment IDI20250819002179
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 Andrew Bosomworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
6.0 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

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

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 Andrew Bosomworth's NPI number?

The NPI number for Andrew Bosomworth is 1992384549. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Andrew Bosomworth located?

Andrew Bosomworth practices at 3100 Summit St Ste G580, Oakland, CA 94609. The listed phone number is (510) 204-3410.

What is Andrew Bosomworth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Andrew Bosomworth enrolled in Medicare?

Yes. Andrew Bosomworth 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.

Which organization bills Medicare for Andrew Bosomworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Bosomworth reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). 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 Andrew Bosomworth'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 Andrew Bosomworth was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.