Petrina Kaday Bangura

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

225681 Issued in MD

Practice address

6310 Stevens Forest Rd
Columbia, MD 21046-1036

Phone

(410) 740-9001

NPI assigned

Nov 28, 2023

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• M Medical Group, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Clinton, MD
  • NPI 1780056168

  DC

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  DC, MD

  Medicare reassignment NPD
• M Management Group LLC

  • Pulmonary Disease Physician
  • Landover, MD
  • NPI 1487215182

  DC

  Medicare reassignment
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Rising Sun, MD
  • NPI 1164238333
  Medicare reassignment
• M Management Group LLC

  • Pulmonary Disease Physician
  • Riverdale, MD
  • NPI 1003622812
  NPD
• M Management Group LLC

  • Pulmonary Disease Physician
  • Annapolis, MD
  • NPI 1760298574
  NPD
• M Management Group, LLC

  • Gastroenterology Physician
  • Landover, MD
  • NPI 1649134784
  NPD
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1447076203
  NPD
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Elkton, MD
  • NPI 1881400067
  NPD

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1356117543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8741 BRAE BROOKE DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063842",
            "telephone_number": "202-203-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 STEVENS FOREST RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461036",
            "telephone_number": "410-740-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "PETRINA",
        "middle_name": "KADAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "225681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tafadzwa Banda
• Nitika Bansal Bandara, MD
• Kamiya Monet Bandy
• Fatima Bangura, MD
• Osman Bangura
• Samia Bangura
• Sylvia C. Bank, M.D.
• Juanita Carol-Ranise Banks-Whittington, LMSW
• Lara Elizabeth Banks
• Shaakira Bannister

• Primary Care Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.