Individual provider Active NPI

Himanshu Kumar Banda, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Tacoma, WA
National Provider Identifier
1205179496
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD60939902 Issued in WA
Practice address
2245 S 19TH St # 200
Tacoma, WA 98405-2945
Phone
(253) 572-1444
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Retina Specialist (Ophthalmology) Physician 207WX0107X MD60939902 WA Primary
Ophthalmology Physician 207W00000X MD60939902 WA

Addresses

Primary practice location

2245 S 19TH St # 200
Tacoma, WA 98405-2945

Mailing address

2245 S 19TH St # 200
Tacoma, WA 98405-2945
Phone (253) 572-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20190621001043 WA Practitioner - Ophthalmology 8022388511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Retina PSGroup PAC ID 5193911170, 6 clinicians

Practice addresses (Care Compare)

2245 S 19TH St
Tacoma, WA 98405-2945

7516 W Deschutes PL
Kennewick, WA 99336-7719
Phone (509) 596-0952

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.93 of 100Reported as group
Quality
99.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60939902WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Retina PS CurrentSince Jul 23, 2019 Accepting new patients
Hermann Area Hospital District Past Accepting new patients
The Retina Institute LLC Ophthalmology PastSince Jul 1, 2017 Accepting new patients

Locations

7516 W Deschutes Pl
Kennewick, WA 99336
Phone (509) 596-0952

3773 Martin Way E
Ste 101
Olympia, WA 98506

3773 Martin Way E
Ste C101
Olympia, WA 98506

2245 S 19th St
#200
Tacoma, WA 98405
Phone (253) 572-1444

2245 S 19th St
Tacoma, WA 98405
Phone (253) 572-1444

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1205179496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 S 19TH ST # 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052945",
            "telephone_number": "253-572-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 S 19TH ST # 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052945",
            "telephone_number": "253-572-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA",
        "first_name": "HIMANSHU",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WA",
            "license": "MD60939902",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60939902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.