Anoma Priyadharshani Bandara, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0040860 Issued in MD

Practice address

19241 Montgomery Village Avenue
Suite E23
Montgomery Village, MD 20886-5036

Phone

(301) 948-0098

Fax

(301) 926-9180

NPI assigned

Oct 2, 2006

Last updated

Dec 8, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Adventist Physician Services, Inc.

  dba Adventist Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Gaithersburg, MD
  • NPI 1376623207

  DC

  Medicare reassignment NPD
• Montgomery Physician Associates PC

  • Internal Medicine Physician
  • Montgomery Village, MD
  • NPI 1801989942
  Authorized official Same address or phone
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1043303183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19241 MONTGOMERY VILLAGE AVENUE",
            "address_2": "SUITE E23",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865036",
            "telephone_number": "301-948-0098",
            "fax_number": "301-926-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19241 MONTGOMERY VILLAGE AVENUE",
            "address_2": "SUITE E23",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208865036",
            "telephone_number": "301-948-0098",
            "fax_number": "301-926-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDARA",
        "first_name": "ANOMA",
        "middle_name": "PRIYADHARSHANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0040860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atrium Victoria Home, Inc (Victoria Home)
• William Joel August, DDS
• Daniel N Azeh
• Melody Baghdoust
• Robert Wade Balentine, PH.D.
• Annet Banura
• Balnath Bhandary, MD
• Olufunmilayo Bishop
• Blessing Home Healthcare Services
• Gene Nicholas Borowski, R.PH.

• Internal Medicine Physician in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.