Wiphada Patricia Bandettini, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D0057808 Issued in MD

Practice address

National Institutes of Health BLDG 10, 10 Center Dr
RM B1D-416
Bethesda, MD 20892-0001

Phone

(301) 896-4007

Fax

(301) 896-7521

NPI assigned

Jan 3, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Wiphada Patricia Ingkanisorn Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Missouri, Kansas City, School of Medicine, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Diagnostic Cardiology, LLC

  • Cardiovascular Disease Physician
  • Chesterfield, MO
  • NPI 1457467755
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1013192582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NATIONAL INSTITUTES OF HEALTH BLDG 10, 10 CENTER DR",
            "address_2": "RM B1D-416",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-896-4007",
            "fax_number": "301-896-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NATIONAL INSTITUTES OF HEALTH BLDG 10, 10 CENTER DR",
            "address_2": "RM B1D-416",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-896-4007",
            "fax_number": "301-896-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDETTINI",
        "first_name": "WIPHADA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0057808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WIPHADA",
            "last_name": "INGKANISORN",
            "middle_name": "PATRICIA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Colleen Garrity Balmaseda, NP
• James E. Balow, M.D.
• Kenise Balton
• Drew N Bancroft
• Tahler Diane Bandarra
• Jane Bandler, LCPC
• Emilyn Constance Banfield, PHD, MPH
• Kelli Jean Bankard, PHARM.D.
• Lorraine Harris Banks, PHD
• Matthew Banks, DMD

• Cardiovascular Disease Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.