Active NPI
Dabanjan Bandyopadhyay, D.O
- Surgery Physician
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- H82055
- Practice address
- 500 Cadmus LN Ste 205
Easton, MD 21601 - Phone
- (410) 822-4553
- NPI assigned
- Nov 3, 2012
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | H82055 | MD | Primary |
Addresses
Primary practice location
500 Cadmus LN Ste 205
Easton, MD 21601
Mailing address
920 Elkridge Landing Rd
Linthicum, MD 21090-2917
Phone (443) 462-5010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20160923000026 | MD | Practitioner - General Surgery | 5799927075 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Maryland Community Medical Group Inc
Practice addresses (Care Compare)
219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845
2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000
500 Cadmus LN
Easton, MD 21601-4094
Hospital & facility affiliations
- University of MD Shore Medical Center at Easton
- University of MD Shore Medical Ctr at Chestertown
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 33 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H82055 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Three Rivers Medical Clinics Inc | Past | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
500 Cadmus Ln
Ste 205
Easton, MD 21601
Phone (410) 822-4553
10 Martin Ct
Easton, MD 21601
Phone (410) 820-7778
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
920 Elkridge Landing Rd
Linthicum Heights, MD 21090
Interoperability endpoints
- dbandyopadhyay471271@direct.umm.edu
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.
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Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534032000000",
"number": "1487908075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 ELKRIDGE LANDING RD",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902917",
"telephone_number": "443-462-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CADMUS LN STE 205",
"city": "EASTON",
"state": "MD",
"postal_code": "21601",
"telephone_number": "410-822-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDYOPADHYAY",
"first_name": "DABANJAN",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-03",
"last_updated": "2018-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "H82055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2018; 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.