Bezarel M Banadda, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD059215L Issued in PA

Practice address

770 E Providence Road
Suite 112
Aldan, PA 19018

Phone

(610) 626-4400

Fax

(610) 284-5051

NPI assigned

Aug 11, 2006

Last updated

Sep 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Home Health Home health agency, Newtown, PA, CCN 397015
• Holy Redeemer Hospice - PA Hospice, Philadelphia, PA, CCN 391514
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
• Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156
• Little Flower Manor Nursing home, Darby, PA, CCN 395821
• Providence Rehab and Hlthcare Ctratmercyfitzgerald Nursing home, Yeadon, PA, CCN 395989

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Towers Health Network Inc.

  • Primary Care Clinic/Center
  • Aldan, PA
  • NPI 1235324393
  Medicare reassignment NPD
• Little Flower Manor Inc

  • Skilled Nursing Facility
  • Darby, PA
  • NPI 1477540524
  NPD (past)

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

• Holy Redeemer Health System

  dba Holy Redeemer Hospice - PA

  • Community Based Hospice Care Agency
  • Philadelphia, PA
  • NPI 1447224597
  Care Compare affiliation Name & address match
• Little Flower Manor Inc

  • Skilled Nursing Facility
  • Darby, PA
  • NPI 1477540524

  Nursing home

  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Lankenau Hospital

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Mercy Home Health

  • Home Health Agency
  • Newtown, PA
  • NPI 1467412296
  Care Compare affiliation
• Providence Operator LLC

  dba Providence Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Lansdowne, PA
  • NPI 1043722960

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1265443584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E PROVIDENCE ROAD",
            "address_2": "SUITE 112",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "19018",
            "telephone_number": "610-626-4400",
            "fax_number": "610-284-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E PROVIDENCE ROAD",
            "address_2": "SUITE 112",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "19018",
            "telephone_number": "610-626-4400",
            "fax_number": "610-284-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANADDA",
        "first_name": "BEZAREL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD059215L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-01596406",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adonnya's Angel Attic
• Affiniti Care LLC
• Aldan Family Dental PC
• Maddi Theresa Alfred
• Rashmi Balasubramanya, M.D
• Binta Barry
• Courtney Bittner, BS
• Quetta Wilcelia Brown-Yarsiah, FNP
• Care From Home Agency LLC
• Cebro Nursing Agency and Education Services

• Internal Medicine Physician in Aldan, PA
• Providers in Aldan, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.

Verify at the official NPI Registry.