NPIMap

Individual provider Active NPI

Raymond L. Bandy, MD

  • Internal Medicine Physician
  • Mountain Home, AR
National Provider Identifier
1265411318
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-5041 Issued in AR
Practice address
628 Hospital Dr Ste 3-E
Mountain Home, AR 72653-2937
Phone
(870) 508-7450
Fax
(870) 508-7768
NPI assigned
Jan 16, 2006
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-5041 AR Primary
Infectious Disease Physician 207RI0200X E-5041 AR

Addresses

Primary practice location

628 Hospital Dr Ste 3-E
Mountain Home, AR 72653-2937

Mailing address

628 Hospital Dr Ste 3-E
Mountain Home, AR 72653-2937
Phone (870) 508-7450

Other identifiers 1

IdentifierTypeStateIssuer
163547001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address raymond.bandy@bhcawp.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070316000131 AR Practitioner - Internal MedicinePractitioner - Infectious Disease 5890746382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
University of Missouri, Columbia School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

628 Hospital Dr
Suite C
Mountain Home, AR 72653-2953
Phone (870) 508-7450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5041ARMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc CurrentSince Apr 27, 2020 Accepting new patients
Baxter County Regional Hospital, Inc. CurrentSince Apr 27, 2020 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Aug 1, 2021 Accepting new patients
Baxter County Regional Hospital, Inc. Internal Medicine Current Accepting new patients
Baxter County Regional Hospital, Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Integris Baptist Regional Health Center Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Baxter County Regional Hospital, Inc Past Accepting new patients

Locations

310 Buttercup Dr
Ste C
Mountain Home, AR 72653
Phone (870) 424-7072

555 W 6th St
Mountain Home, AR 72653
Phone (870) 425-1787

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

624 Hospital Dr
#6S
Mountain Home, AR 72653
Phone (870) 421-6023

628 Hospital Dr
Ste 3-E
Mountain Home, AR 72653
Phone (870) 508-3200

628 Hospital Dr
Ste C
Mountain Home, AR 72653
Phone (870) 508-7450

628 Hospital Dr
Ste E
Mountain Home, AR 72653
Phone (870) 424-4710

414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000

Interoperability endpoints

  • Direct secure messaging: raymond.bandy@bhcawp.eclinicaldirectplus.com
  • Direct secure messaging: rbandy212@directa.mercy.net

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1265411318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 HOSPITAL DR STE 3-E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532937",
            "telephone_number": "870-508-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 HOSPITAL DR STE 3-E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532937",
            "telephone_number": "870-508-7450",
            "fax_number": "870-508-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDY",
        "first_name": "RAYMOND",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-5041",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AR",
            "license": "E-5041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163547001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "raymond.bandy@bhcawp.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "628 Hospital Dr Ste 3-E",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726532937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.