Individual provider Active NPI

Anthony Bangura, NP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1053774075
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029703 Issued in OH
Practice address
3266 Possum Run CT S
Columbus, OH 43224-1838
Phone
(614) 592-8967
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN421265 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0029703 OH Primary

Addresses

Primary practice location

3266 Possum Run CT S
Columbus, OH 43224-1838

Mailing address

3266 Possum Run CT S
Columbus, OH 43224-1838
Phone (614) 592-8967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220322002897 OH Practitioner - Nurse Practitioner 2466847884 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Practice addresses (Care Compare)

2700 E Dublin Granville Rd
Columbus, OH 43231-4094
Phone (614) 568-8228

5801 Tamarack Blvd
Columbus, OH 43229-3747
Phone (614) 436-6009

Merit-based Incentive Payment System (MIPS)

Final score
66.34 of 100Reported as group
Quality
63.79
Promoting interoperability
0
Improvement activities
40
Cost
74.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN421265OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Mar 1, 2022 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Feb 3, 2022 Accepting new patients
Advent Family Practice Incorporated CurrentSince Sep 16, 2025 Accepting new patients
Incare Health Solutions LLC CurrentSince Feb 3, 2022 Accepting new patients
Theoria Medical CurrentSince Jun 6, 2022 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

65 N Waggoner Rd
Blacklick, OH 43004
Phone (614) 604-8805

2700 E Dublin Granville Rd
Ste 300KK
Columbus, OH 43231
Phone (614) 284-3446

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

5801 Tamarack Blvd
Columbus, OH 43229
Phone (614) 436-6009

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

211 Edgefield Blvd
Marion, OH 43302

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1053774075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 POSSUM RUN CT S",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432241838",
            "telephone_number": "614-592-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3266 POSSUM RUN CT S",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432241838",
            "telephone_number": "614-592-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN421265",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.