Michael A Banda, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD.09177R Issued in 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

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Emergency Medicine

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 AssociatesGroup PAC ID 6002152519, 2 clinicians

North Caddo Hospital Service DistrictGroup PAC ID 4385544584, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• North Caddo Medical Center Hospital, Vivian, LA, CCN 191304

Merit-based Incentive Payment System (MIPS)

Final score

91.53 of 100Reported as apm

Quality

81.42

Promoting interoperability

94.6

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michaelbanda@ncmcla.cernerdirect.com

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.

• North Caddo Hospital Service District

  dba North Caddo Medical Center

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• WK Bossier Surgical Associates

  • Surgery Physician
  • Bossier City, LA
  • NPI 1598234338

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Bossier Surgical Associates Apmc

  • Surgery Physician
  • Bossier City, LA
  • NPI 1659469799

  Multi-Specialty

  NPD Authorized official
• Michael Banda Apmc

  • Surgery Physician
  • Bossier City, LA
  • NPI 1417124504
  Authorized official Same address or phone
• North Caddo Hospital Service District

  dba NCMC Medical & Surgical Clinic

  • Rural Health Clinic/Center
  • Vivian, LA
  • NPI 1013181866

  Multi-Specialty

  NPD
• Benton Medical

  • Clinic/Center
  • Benton, LA
  • NPI 1932585841

  Multi-Specialty

  NPD (past)
• Blanchard Medical

  • Rural Health Clinic/Center
  • Shreveport, LA
  • NPI 1760089791

  Multi-Specialty

  NPD (past)
• North Caddo Hospital Service District

  dba Plain Dealing Medical Clinic

  • Family Medicine Physician
  • Plain Dealing, LA
  • NPI 1477798668

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Caddo Hospital Service District

  dba North Caddo Medical Center

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Willis Knighton South Hospital

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Pierremont Health Center

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1528064078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013910",
            "telephone_number": "318-212-8951",
            "fax_number": "318-212-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "STE. 250",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-746-4460",
            "fax_number": "318-746-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.09177R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Kay Ball, BSW
• Brittney Ball, LPC
• Paul Allen Ballard, PA-C, ATC
• Louie T Ballis, DC
• Attila Balogh, MD
• Lauren Gernand Banet, PA-C
• Andrew R Banker, DDS, MD
• Charlotte E. Banker, DDS
• Lori Ann Barber, PTA
• Ryan Brand Barcelona, PT, DPT

• Surgery Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.

Verify at the official NPI Registry.