Individual provider Active NPI

Bhanumathi Bandu, M.D.

  • Internal Medicine Physician
  • West Trenton, NJ
National Provider Identifier
1851327845
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06642700 Issued in NJ
Practice address
100 Sullivan Way
Trenton Psychiatric Hospital
West Trenton, NJ 08628
Phone
(609) 633-1500
NPI assigned
Jun 23, 2006
Last updated
May 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06642700 NJ Primary

Addresses

Primary practice location

100 Sullivan Way
Trenton Psychiatric Hospital
West Trenton, NJ 08628

Mailing address

State of NJ Dept. of Treasury
PO Box 15280
Newark, NJ 07192-0001

Other identifiers 1

IdentifierTypeStateIssuer
008837B1FOtherMEDICARE BILLING NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040616000483 NJ Practitioner - Internal MedicinePractitioner - General Practice 1658355748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Sullivan Way
Trenton, NJ 08625-0500
Phone (609) 633-1562

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Oct 24, 2017 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Oct 24, 2017 Accepting new patients
State of New Jersey Omb Centralized Payroll PastSince Oct 18, 2004 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1851327845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STATE OF NJ DEPT. OF TREASURY",
            "address_2": "PO BOX 15280",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071920001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SULLIVAN WAY",
            "address_2": "TRENTON PSYCHIATRIC HOSPITAL",
            "city": "WEST TRENTON",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-633-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDU",
        "first_name": "BHANUMATHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06642700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING NUMBER",
            "identifier": "008837B1F",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Trenton, NJ

Sources for this page

Verify at the official NPI Registry.