Active NPI
Rodrigo Ernesto Banda, PA-C
- Physician Assistant
- Sheldon, IA
National Provider Identifier
1487401642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 125548
- Practice address
- 800 Oak St
Sheldon, IA 51201-1242 - Phone
- (712) 324-5356
- NPI assigned
- May 3, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 125548 | IA | Primary |
Addresses
Primary practice location
800 Oak St
Sheldon, IA 51201-1242
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other practice location 1
1111 11th St
Hawarden, IA 51023-1903
Phone (712) 541-2761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240805002839 | IA | Practitioner - Physician Assistant | 0648717967 | Reassigns benefits to 8 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Hawarden Regional Healthcare Clinics LLC | Current | Accepting new patients | |
| Hawarden Regional Healthcare Clinics LLC | Current | Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
Locations
1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100
1122 12th St
Hawarden, IA 51023
Phone (712) 551-3400
800 Oak St
Sheldon, IA 51201
Phone (712) 324-5356
Organizations & group practices 13
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.
-
- Rural Health Clinic/Center
- Hawarden, IA
- NPI 1013955004
-
- Family Medicine Physician
- Ireton, IA
- NPI 1801060306
-
- Family Medicine Physician
- Sheldon, IA
- NPI 1831281047
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hawarden Regional Healthcare Clinics LLCSanford Health Network
Practice addresses (Care Compare)
1122 12TH St
Hawarden, IA 51023-1900
Phone (712) 551-3400
800 Oak St
Sheldon, IA 51201-1242
Phone (712) 324-5356
Hospital & facility affiliations
- Sanford Sheldon Medical Center
- Hawarden Regional Healthcare
- Avera Holy Family Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769299200000",
"number": "1487401642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-6585",
"fax_number": "605-312-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OAK ST",
"city": "SHELDON",
"state": "IA",
"postal_code": "512011242",
"telephone_number": "712-324-5356"
}
],
"practiceLocations": [
{
"address_1": "1111 11th St",
"address_purpose": "LOCATION",
"city": "Hawarden",
"state": "IA",
"postal_code": "510231903",
"country_code": "US",
"telephone_number": "712-541-2761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANDA",
"first_name": "RODRIGO",
"middle_name": "ERNESTO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-03",
"last_updated": "2026-01-25",
"certification_date": "2026-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "125548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheldon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2026; 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.