Individual provider Active NPI

Alexander Jorge Bandin, MD

  • Urology Physician
  • Hartford, CT
National Provider Identifier
1790149433
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
067992 Issued in CT
Practice address
79 Retreat Avenue
Hartford Hospital Urology Services
Hartford, CT 06106-2527
Phone
(860) 972-2791
NPI assigned
Apr 8, 2016
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Urology Physician 208800000X 067992 CT Primary

Addresses

Primary practice location

79 Retreat Avenue
Hartford Hospital Urology Services
Hartford, CT 06106-2527

Mailing address

80 Seymour Street
Hartford Hospital Urology Dept
Hartford, CT 06102-8000
Phone (860) 972-2791

Other practice location 1

177 Ft. Washington Ave
General Surgery Residents Office
New York, NY 10032
Phone (212) 305-3038

Other practice location 2

333 Cedar St
New Haven, CT 06510-3206
Phone (203) 737-1942

Other practice location 3

80 Seymour Street
Hartford Hospital Urology Services
Hartford, CT 06102-8000
Phone (860) 972-2791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20221109002406 NM Practitioner - Urology 6507130937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Columbia University College of Physicians and Surgeons, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

2400 Unser Blvd SE
Suite 18200
Rio Rancho, NM 87124-4740
Phone (505) 253-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection18
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
067992CTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Oct 10, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Oct 10, 2022 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2400 Unser Blvd SE
Ste 18200
Rio Rancho, NM 87124
Phone (505) 253-6200

Interoperability endpoints

  • Direct secure messaging: abandin219083@direct.phs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1790149433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL UROLOGY DEPT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-972-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 RETREAT AVENUE",
            "address_2": "HARTFORD HOSPITAL UROLOGY SERVICES",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062527",
            "telephone_number": "860-972-2791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Ft. Washington Ave",
            "address_2": "General Surgery Residents Office",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10032",
            "country_code": "US",
            "telephone_number": "212-305-3038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Cedar St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103206",
            "country_code": "US",
            "telephone_number": "203-737-1942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Seymour Street",
            "address_2": "Hartford Hospital Urology Services",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-972-2791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANDIN",
        "first_name": "ALEXANDER",
        "middle_name": "JORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "067992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.