Individual provider Active NPI

Bandana Koirala Luitel

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1255068920
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184908 Issued in VA
Practice address
20 University Blvd E
Silver Spring, MD 20901-2436
Phone
(855) 910-3278
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R176010 MD
Family Nurse Practitioner 363LF0000X NP1007148 DC
Family Nurse Practitioner 363LF0000X 0024184908 VA Primary

Addresses

Primary practice location

20 University Blvd E
Silver Spring, MD 20901-2436

Mailing address

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (855) 910-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221122001845 MD Practitioner - Nurse Practitioner 3274901210 Reassigns benefits to 1 organization
I20221122002233 DC Practitioner - Nurse Practitioner 3274901210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, shared by 36 NPIs, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

12220 Rockville Pike
Rockville, MD 20852-1608
Phone (301) 881-0103

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6334 Cedar LN
Columbia, MD 21044-3898
Phone (410) 531-2487

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

6410 Rockledge Dr
Bethesda, MD 20817-1844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1007148DCMDFamily Nurse Practitioner
0024184908VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Sep 12, 2022 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Sep 12, 2022 Accepting new patients
Medstar Urgent Care LLC CurrentSince Sep 21, 2022 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

20 University Blvd E
Silver Spring, MD 20901
Phone (240) 863-2720

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

3610D King St
Alexandria, VA 22302
Phone (703) 845-2815

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1255068920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 UNIVERSITY BLVD E",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012436",
            "telephone_number": "855-910-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 UNIVERSITY BLVD E",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209012436",
            "telephone_number": "855-910-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUITEL",
        "first_name": "BANDANA",
        "middle_name": "KOIRALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R176010",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1007148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.