Individual provider Active NPI

Puneet Bandi, M.D.

  • Hospitalist Physician
  • Medford, OR
National Provider Identifier
1801030382
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD156838 Issued in OR
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.

View all 21

Hospital & facility affiliations 5

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

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 - Oregon 41 clinicians
Providence Health and Services Oregon 166 clinicians
Swedish Health Services 1,038 clinicians

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 Hospital, Medford, OR, CCN 380075
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120815000194 OR Practitioner - Family PracticePractitioner - Hospitalist 2466608062 Reassigns benefits to 5 organizations
I20180313001227 WA Practitioner - Family PracticePractitioner - Hospitalist 2466608062 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD156838ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Jun 19, 2023 Accepting new patients
Swedish Health Services CurrentSince Sep 9, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Feb 1, 2018 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Jan 21, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 29, 2012 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 21, 2025 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Mar 4, 2017 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 21, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 29, 2012 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 19, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Feb 1, 2018 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 21, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince Mar 4, 2017 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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD156838 OR
Hospitalist Physician 208M00000X MD156838 OR Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
500647772MedicaidOR

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

Verify at the official NPI Registry.