Azmina Bandali

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4325 N Josey LN Ste 105
Carrollton, TX 75010-4636

Phone

(972) 394-9478

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Texas Tech University Health Science Center School of Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Ronald P. Giometti Jr., M.D.

  • Family Medicine Physician
  • Carrollton, TX
  • NPI 1275569345
  Medicare reassignment
• Ronald P. Giometti Jr., M.D. P.a.

  • Family Medicine Physician
  • Carrollton, TX
  • NPI 1164607693
  NPD (past)

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1548978950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 N JOSEY LN STE 105",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104636",
            "telephone_number": "972-394-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 N JOSEY LN STE 105",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104636",
            "telephone_number": "972-394-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDALI",
        "first_name": "AZMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine E Baggett, LCSW
• John W Bailey, MD
• Veronica Michelle Bailey, SLP-CCC
• Kenneth E Baird, MD
• Sonnia Balderrama-Oliva, DR.PH, MBA, RN
• Jeanne Gabrielle Go Bandelaria, PA-C
• Suvin Banker, DO
• Felicia Barard
• Christabelle Bardeloza, MS, RD, LD
• Bariatric Evaluations

• Physician Assistant in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.