KANCHANA BOSEROY (MD) – Developmental - Behavioral Pediatrics Physician, NPI 1417910076
Developmental - Behavioral Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KANCHANA BOSEROY (MD)
653 N Town Center Dr Ste 112
Las Vegas, NV 891440515
Phone: (702) 733-3098
Fax: (702) 733-9751
Type: Location
14601 45th Ave
Rm 403
Flushing, NY 113552200
Phone: (718) 670-5213
Fax: (718) 321-6004
Type: Location
PO BOX 31235
TUCSON, AZ 857511235
Phone: (520) 324-2308
Fax: (520) 324-1406
Type: Mailing
North Beverly Avenue, Tucson, Pima County, Arizona, 85712, United States
TUCSON, AZ 857122155
Phone: (520) 324-6290
Fax: (520) 324-6291
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-02-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180111002405 | I | Pediatric Medicine | NV | TBD |
| I20180510001290 | I | Pediatric Medicine | AZ | TBD |
| I20230214001653 | I | Pediatric Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89144)
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