Individual provider Active NPI

Robel Tajanlangit Dabandan, NP-C

  • Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1033766357
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AC003301 Issued in MD
Practice address
4848 Battery LN Ste 202
Bethesda, MD 20814-2703
Phone
(240) 204-7256
NPI assigned
Aug 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AC003301 MD Primary

Addresses

Primary practice location

4848 Battery LN Ste 202
Bethesda, MD 20814-2703

Mailing address

10001 Vanderbilt Cir Apt 12
Rockville, MD 20850-4675
Phone (240) 271-9624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191211001295 DC Practitioner - Nurse Practitioner 8527491216 Reassigns benefits to 1 organization
I20230304000014 MD Practitioner - Nurse Practitioner 8527491216 Reassigns benefits to 3 organizations
I20250328000980 VA Practitioner - Nurse Practitioner 8527491216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Healthcare Group LLCGroup PAC ID 8224412234, 15 clinicians
Mobile Wound Care Solutions LLCGroup PAC ID 0547783730, 7 clinicians

Practice addresses (Care Compare)

Towson, MD 21286
Phone (919) 429-1901

809 E Seminary Ave
Towson, MD 21286-1554
Phone (919) 429-1901

8204 Gates Bluff PL
Chesterfield, VA 23832-6350
Phone (919) 429-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC003301MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 29, 2022 Accepting new patients
Guardian Biologics LLC CurrentSince Feb 7, 2025 Accepting new patients
Regional Healthcare Group LLC CurrentSince Feb 7, 2025 Accepting new patients
Mobile Wound Care Services - Northeast PC CurrentSince May 19, 2026 Accepting new patients
Mobile Wound Care Solutions LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

601 13th St NW
Fl 12
Washington, DC 20005
Phone (202) 931-9833

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1033766357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 VANDERBILT CIR APT 12",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504675",
            "telephone_number": "240-271-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 BATTERY LN STE 202",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142703",
            "telephone_number": "240-204-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABANDAN",
        "first_name": "ROBEL",
        "middle_name": "TAJANLANGIT",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC003301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.