Active NPI
Puneet Bandi, M.D.
- Hospitalist Physician
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD156838
- Practice address
- 1111 Crater Lake Ave
Medford, OR 97504-6241 - Phone
- (541) 732-5545
- Fax
- (541) 732-5548
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
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.
-
- Family Medicine Physician
- Medford, OR
- NPI 1568547503
Family Medicine, OR
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Family Medicine, OR, WA
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Family Medicine, WA
-
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
-
- Rehabilitation Hospital Unit
- Medford, OR
- NPI 1508949884
-
- Prosthetic/Orthotic Supplier
- Seattle, WA
- NPI 1770314940
-
- General Practice Physician
- Portland, OR
- NPI 1063990695
Family Medicine
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health and Services - OregonProvidence Health and Services OregonSwedish Health Services
Practice addresses (Care Compare)
1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5250
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
Hospital & facility affiliations
- Providence Medford Medical Center
- Swedish Edmonds Hospital
- Swedish Medical Center / Cherry Hill
- Swedish Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120815000194 | OR | Practitioner - Family Practice | 2466608062 | Reassigns benefits to 5 organizations |
| I20180313001227 | WA | Practitioner - Family Practice | 2466608062 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD156838 | OR | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
2875 NE Stucki Ave
Hillsboro, OR 97124
Phone (866) 280-0511
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD156838 | OR | |
| Hospitalist Physician | 208M00000X | MD156838 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1111 Crater Lake Ave
Medford, OR 97504-6241
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500647772 | Medicaid | OR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2017.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1801030382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494",
"fax_number": "503-215-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 CRATER LAKE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046241",
"telephone_number": "541-732-5545",
"fax_number": "541-732-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDI",
"first_name": "PUNEET",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-28",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD156838",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OR",
"license": "MD156838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500647772",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.