Active NPI
Sushma Parvathi Banda, M.D
- Internal Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD34244
- Practice address
- 2411 Holmes St
Umkc School of Medicine Residency Program,M2-302
Kansas City, MO 64108-2741 - Phone
- (816) 235-6628
- NPI assigned
- May 13, 2008
- Last updated
- May 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD34244 | SC | Primary |
Addresses
Primary practice location
2411 Holmes St
Umkc School of Medicine Residency Program,M2-302
Kansas City, MO 64108-2741
Mailing address
8590 Magnolia TRL
Apt # 110
Eden Prairie, MN 55344-7656
Phone (952) 334-3666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Intensivist Services PC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group South Carolina | Internal Medicine | Past | Accepting new patients |
Locations
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Organizations & group practices 2
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.
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- NPI 1619028545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1710154208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8590 MAGNOLIA TRL",
"address_2": "APT # 110",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447656",
"telephone_number": "952-334-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 HOLMES ST",
"address_2": "UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM,M2-302",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082741",
"telephone_number": "816-235-6628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDA",
"first_name": "SUSHMA",
"middle_name": "PARVATHI",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "MD34244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.