Active NPI
Nadia E Bangura, PA-C
- Physician Assistant
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110007850
- Practice address
- 6355 Walker LN Ste 507
Alexandria, VA 22310-3251 - Phone
- (703) 738-4332
- Fax
- (703) 971-4605
- NPI assigned
- Oct 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110007850 | VA | Primary |
| Physician Assistant | 363A00000X | C0008046 | MD |
Addresses
Primary practice location
6355 Walker LN Ste 507
Alexandria, VA 22310-3251
Mailing address
11350 McCormick Rd
Executive Plaza 1, Ste. 501
Hunt Valley, MD 21031
Phone (709) 914-8000
Other practice location 1
8525 Rolling Rd Ste 300
Manassas, VA 20110-3673
Phone (703) 393-1667
Other practice location 2
6707 Democracy Blvd Ste 504
Bethesda, MD 20817-1166
Phone (301) 637-8712
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nbangura@spineandpain.emadirect.md |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, NJ, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210614000038 | VA | Practitioner - Physician Assistant | 5193125177 | Reassigns benefits to 3 organizations |
| I20210917000364 | DC | Practitioner - Physician Assistant | 5193125177 | Reassigns benefits to 2 organizations |
| I20240114000041 | NJ | Practitioner - Physician Assistant | 5193125177 | Reassigns benefits to 1 organization |
| I20241029002952 | MD | Practitioner - Physician Assistant | 5193125177 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Gold Standard Medical Group PC
Practice addresses (Care Compare)
992 Clifton Ave
Clifton, NJ 07013-3502
Phone (201) 839-5016
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0008046 | MD | MD | Physician Assistant |
| 0110007850 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Thrive Care LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Orthopaedic Associates of Central Maryland, PA | Past | Accepting new patients | |
| Psych Associates of Maryland LLC | Past | Accepting new patients | |
| Physical Medicine Associates LTD | Past | Accepting new patients |
Locations
6707 Democracy Blvd
Ste 504
Bethesda, MD 20817
Phone (301) 637-8712
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444
8525 Rolling Rd
Ste 300
Manassas, VA 20110
Phone 7033931667204
14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112
Interoperability endpoints
- nbangura@spineandpain.emadirect.md
- 60nbangura@cfaortho.emadirect.md
Organizations & group practices 13
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.
-
- Orthopaedic Surgery Physician
- Winchester, VA
- NPI 1861221863
VA
-
- Interventional Pain Medicine Physician
- MC Lean, VA
- NPI 1003884560
DC
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1982160362
-
- Durable Medical Equipment & Medical Supplies
- Hanover, MD
- NPI 1760872709
-
- Orthopaedic Surgery Physician
- Columbia, MD
- NPI 1023269396
-
- Clinical Laboratory Director (Non-physician)
- Columbia, MD
- NPI 1750840666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1073157228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11350 MCCORMICK RD",
"address_2": "EXECUTIVE PLAZA 1, STE. 501",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "21031",
"telephone_number": "709-914-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 WALKER LN STE 507",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103251",
"telephone_number": "703-738-4332",
"fax_number": "703-971-4605"
}
],
"practiceLocations": [
{
"address_1": "8525 Rolling Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201103673",
"country_code": "US",
"telephone_number": "703-393-1667",
"fax_number": "703-393-2517",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6707 Democracy Blvd Ste 504",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208171166",
"country_code": "US",
"telephone_number": "301-637-8712",
"fax_number": "301-547-3366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANGURA",
"first_name": "NADIA",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007850",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0008046",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nbangura@spineandpain.emadirect.md",
"affiliation": "N",
"address_1": "6355 Walker Ln Ste 507",
"city": "Alexandria",
"state": "VA",
"country_code": "US",
"postal_code": "223103251",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.