Active NPI
Himanshu Kumar Banda, M.D.
- Retina Specialist (Ophthalmology) Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- MD60939902
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 99.85
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60939902 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Retina PS | Current | Accepting new patients | |
| Hermann Area Hospital District | Past | Accepting new patients | |
| The Retina Institute LLC | Ophthalmology | Past | 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
- https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
- 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.
-
- Specialist
- Tacoma, WA
- NPI 1700117116
-
dba Hermann Area District Hospital
- Family Medicine Physician
- Hermann, MO
- NPI 1083749188
-
dba Barnes Retina Institute
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1407858673
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.