Michael A Banda, M.D.
Individual provider Active NPI Surgery Physician · Bossier City, LA
NPI 1528064078 · NPPES record last updated Jun 17, 2021
Key facts
- NPI
- 1528064078
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD.09177R (LA)
- Practice address
- 2400 Hospital Dr
Ste. 250
Bossier City, LA 71111-2385 - Phone
- (318) 746-4460
- Fax
- (318) 746-3389
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Texas Medical School at San Antonio, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- WK Bossier Surgical Associates
North Caddo Hospital Service District
Practice addresses (Care Compare)
2400 Hospital Dr
Suite 250
Bossier City, LA 71111-2390
Phone (318) 746-4460
815 S Pine St
Vivian, LA 71082-3353
Phone (318) 375-3235
Hospital & facility affiliations
- Willis Knighton Medical Center
- North Caddo Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.53 of 100
- Quality
- 81.42
- Promoting interoperability
- 94.6
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 13 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051206000202 | LA | Practitioner - General Surgery |
7618997677 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Caddo Hospital Service District | Multi-Specialty | Current |
Accepting new patients |
| Bossier Surgical Associates Apmc | Multi-Specialty | Current |
Accepting new patients |
| North Caddo Hospital Service District | Multi-Specialty | Current |
Accepting new patients |
| WK Bossier Surgical Associates | Multi-Specialty | Current |
Accepting new patients |
| Benton Medical | Multi-Specialty | Past | Accepting new patients |
| Blanchard Medical | Multi-Specialty | Past | Accepting new patients |
| North Caddo Hospital Service District | Multi-Specialty | Past | Accepting new patients |
Locations
188 Burt Blvd
Benton, LA 71006
Phone (318) 965-1000
2400 Hospital Dr
Ste 250
Bossier City, LA 71111
Phone (318) 746-4460
5948 N Market St
Shreveport, LA 71107
Phone (318) 375-0001
1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946
815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239
Interoperability endpoints
- michaelbanda@ncmcla.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | MD.09177R | LA | Yes |
Addresses
Primary practice location
2400 Hospital Dr
Ste. 250
Bossier City, LA 71111-2385
Mailing address
1202 Louisiana Ave
Shreveport, LA 71101-3910
Phone (318) 212-8951
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1493651 | Medicaid | LA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other |
Other providers in Bossier City, LA
- Angela Kay Ball
- Brittney Ball
- Paul Allen Ballard
- Louie T Ballis
- Attila Balogh
- Lauren Gernand Banet
- Andrew R Banker
- Charlotte E. Banker
- Lori Ann Barber
- Ryan Brand Barcelona
All providers in Bossier City, LA · Surgery Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.