Luella Bangura, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01045193A Issued in IN

Practice address

5 Executive Dr Ste G
Lafayette, IN 47905-4867

Phone

(765) 448-4646

Fax

(765) 448-4791

NPI assigned

Aug 1, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Bangura Medical Services,PC

  • Internal Medicine Physician
  • Lafayette, IN
  • NPI 1902814049

  Internal Medicine

  NPD (past) Authorized official
• Blackbird Clinical Services, LLC

  • Public Health or Welfare Agency
  • Lafayette, IN
  • NPI 1164669255
  NPD (past)
• Riggs Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1386660900
  NPD (past)
• Riggs Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1386876233
  NPD (past)
• Sigma Medical Group, LLC

  • General Practice Physician
  • Lafayette, IN
  • NPI 1386668812
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1720094584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 S BROOKFIELD DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057658",
            "telephone_number": "765-447-7941",
            "fax_number": "765-447-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE DR STE G",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054867",
            "telephone_number": "765-448-4646",
            "fax_number": "765-448-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "LUELLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01045193A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200421310",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER PIN",
            "identifier": "000000520469",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Banes, RBT
• Siddharth Bangar, M.D.
• Christopher P Bangert, RPH
• Roger Guy Bangs, MD
• Bangura Medical Services,PC
• Dennis Banter
• Brida Ann Barba, OTR
• Henry Barcino, M.D.
• Anne Barnard, LMHCA
• Megan Barnes, R.D.

• All providers in Lafayette, IN
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.