Active NPI
Bibhas C Bandy, M.D.
- Otolaryngology Physician
- Hagerstown, MD
National Provider Identifier
1386606234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D0015485
- Practice address
- 363 S Cleveland Ave
Suite 202
Hagerstown, MD 21740-5747 - Phone
- (301) 790-0444
- Fax
- (301) 739-3275
- NPI assigned
- Apr 5, 2006
- Last updated
- Oct 21, 2008
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0015485 | MD | Primary |
Addresses
Primary practice location
363 S Cleveland Ave
Suite 202
Hagerstown, MD 21740-5747
Mailing address
363 S Cleveland Ave
Suite 202
Hagerstown, MD 21740-5747
Phone (301) 790-0444
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221028 | Other | MD | MAMSI HEALTH PLANS |
| 08357440005 | Other | MD | CIGNA |
| C043 | Other | MD | CAREFIRST BCBS |
| 710031100 | Medicaid | MD | |
| 041923465A | Other | MD | TRAVELERS MEDICARE |
| E4250001 | Other | DC | FEDERAL BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0015485 | MD | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Hagerstown, MD
- NPI 1538213715
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1386606234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 S CLEVELAND AVE",
"address_2": "SUITE 202",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405747",
"telephone_number": "301-790-0444",
"fax_number": "301-739-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 S CLEVELAND AVE",
"address_2": "SUITE 202",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405747",
"telephone_number": "301-790-0444",
"fax_number": "301-739-3275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDY",
"first_name": "BIBHAS",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0015485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI HEALTH PLANS",
"identifier": "221028",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "08357440005",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "C043",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "710031100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "041923465A",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE SHIELD",
"identifier": "E4250001",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.