Active NPI
Rachael Nkeiruka Banda, DO
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61093784
- Practice address
- 2211 Queen Anne Ave N
Seattle, WA 98109-2367 - Phone
- (206) 861-8500
- Fax
- (206) 861-8501
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP61093784 | WA | Primary |
Addresses
Primary practice location
2211 Queen Anne Ave N
Seattle, WA 98109-2367
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other names 1
- Ms. Rachael Nkeiruka Banda
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210127002798 | WA | Practitioner - Family Practice | 6800200189 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61093784 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Family Medicine | Current | Accepting new patients |
Locations
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
2211 Queen Anne Ave N
Seattle, WA 98109
Phone (206) 861-8500
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
800 5th Ave
Ste 600
Seattle, WA 98104
Organizations & group practices 2
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.
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Pacific NW Un of HS, Col of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Swedish Health Services
Practice addresses (Care Compare)
2211 Queen Anne Ave N
Seattle, WA 98109-2367
Phone (206) 861-8500
Hospital & facility affiliations
- Swedish Medical Center
- Swedish Medical Center / Cherry Hill
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1306378575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 QUEEN ANNE AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092367",
"telephone_number": "206-861-8500",
"fax_number": "206-861-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDA",
"first_name": "RACHAEL",
"middle_name": "NKEIRUKA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61093784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHAEL",
"last_name": "BANDA",
"middle_name": "NKEIRUKA",
"prefix": "MS.",
"credential": "D.O",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.