Raison Sujai Bose, DDS
NPI 1780815928ActiveIndividual· Dentist, Endodontics· Wauwatosa, WI
Opted out of Medicare from April 2016 to April 2028. Dentist, Endodontics (DDS) in Wauwatosa, Wisconsin, licensed in WI, with an NPI issued in August 2009. Part D covered 45 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1780815928 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Aug 6, 2009 |
| Last updated in NPPES | Apr 18, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 6750-015 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 6, 2016 – Apr 6, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 45 · 45 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $105.37 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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