Devon Nicholas Banda, DO

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

5101026149 Issued in MI

Practice address

The Hand Center
195 Eastern Blvd, # 200
Glastonbury, CT 06033

Phone

(860) 215-4245

NPI assigned

Jul 7, 2015

Last updated

Jun 14, 2024By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, ID2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

Michigan State University College of Osteopathic Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adam J Olscamp MD PCGroup PAC ID 4284947334, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dbanda293561@direct.hfhs.org
• Direct secure messaging: devon.banda.1@28236.direct.athenahealth.com
• Direct secure messaging: devon.banda@xdr.hhchealthdirect.org

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.

• Adam J Olscamp MD PC

  dba Orthopedic Sports Institute

  • Multi-Specialty Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1063896546

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Adam J Olscamp MD PC

  dba Orthopedic Sports Institute

  • Durable Medical Equipment & Medical Supplies
  • Hayden, ID
  • NPI 1396514931

  Orthopaedic Surgery

  NPD
• Northern Lakes Surgery Center, LLC

  dba Hayden Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Hayden, ID
  • NPI 1861271629
  NPD (past)

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

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation
• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur d'Alene, ID
  • NPI 1992798409
  Care Compare affiliation
• North Idaho Day Surgery LLC

  • Multi-Specialty Clinic/Center
  • St Maries, ID
  • NPI 1093674301

  Hospital

  Care Compare affiliation
• North Idaho Day Surgery LLC

  dba Northwest Specialty Hospital

  • General Acute Care Hospital
  • Post Falls, ID
  • NPI 1104824739
  Care Compare affiliation
• North Idaho Day Surgery LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Post Falls, ID
  • NPI 1649123589

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1316320534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 LINWOOD AVE",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071522",
            "telephone_number": "248-802-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE HAND CENTER",
            "address_2": "195 EASTERN BLVD, # 200",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-215-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 N Northwood Center Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146190",
            "country_code": "US",
            "telephone_number": "208-457-4211",
            "fax_number": "208-773-1473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8552 N Government Way",
            "address_purpose": "LOCATION",
            "city": "Hayden",
            "state": "ID",
            "postal_code": "838359280",
            "country_code": "US",
            "telephone_number": "208-457-4211",
            "fax_number": "208-773-1473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANDA",
        "first_name": "DEVON",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101026149",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "O-1995",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ID",
            "license": "O-1995",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "5101026149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Josue Ayala
• Patricia Ann Baginski, FNP-C
• Balanced Health, LLC
• Steven Mark Balloch, DDS
• Lucinda Maria Balsome, M.S.,R.D.
• Arjun Banerjee, MD
• Ali Banki, D.O.
• Robin J Bansal
• Sudeep Bansal, M.D.
• Christopher Michael Barclay, BCBA, NCSP

• Orthopaedic Hand Surgery Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Orthopaedic Hand Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.