Active NPI
Sheela P Banad
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1396878724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 202004
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 299-7295
- Fax
- (718) 299-6797
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 202004 | NY | Primary |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
3198 Grand Concourse
Bronx, NY 10458-1000
Phone (718) 618-0401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01714061 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boro Medical, P.C. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1396878724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3198 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104581000",
"telephone_number": "718-618-0401",
"fax_number": "718-795-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "718-299-7295",
"fax_number": "718-299-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANAD",
"first_name": "SHEELA",
"middle_name": "P",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "202004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01714061",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.