Active NPI
Asad Karamali Bandealy, MD, MPH
- Pediatrics Physician
- Riverdale Park, MD
National Provider Identifier
1346565462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D77994
- Practice address
- 6103 Baltimore Ave Ste T1
Riverdale Park, MD 20737-1966 - Phone
- (301) 277-2779
- NPI assigned
- Mar 31, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D77994 | MD | Primary |
Addresses
Primary practice location
6103 Baltimore Ave Ste T1
Riverdale Park, MD 20737-1966
Mailing address
2300 18TH St NW Apt 308
Washington, DC 20009-1898
Phone (312) 810-4116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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 |
|---|---|---|---|---|
| I20151012000430 | DC | Practitioner - Pediatric Medicine | 0840434015 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D77994 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1346565462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 18TH ST NW APT 308",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200091898",
"telephone_number": "312-810-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6103 BALTIMORE AVE STE T1",
"city": "RIVERDALE PARK",
"state": "MD",
"postal_code": "207371966",
"telephone_number": "301-277-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDEALY",
"first_name": "ASAD",
"middle_name": "KARAMALI",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-31",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D77994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverdale Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.