Individual provider Active NPI

Paul A Bannen, MD

  • Hematology & Oncology Physician
  • Olney, MD
National Provider Identifier
1942392899
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0060335 Issued in MD
Practice address
18111 Prince Philip Dr
# 327 Miller Kaplan and Rajagopal PC
Olney, MD 20832
Phone
(301) 774-6136
Fax
(301) 570-0136
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D0060335 MD Primary

Addresses

Primary practice location

18111 Prince Philip Dr
# 327 Miller Kaplan and Rajagopal PC
Olney, MD 20832

Mailing address

18111 Prince Philip Dr
# 327 Miller Kaplan and Rajagopal PC
Olney, MD 20832
Phone (301) 774-6136

Other identifiers 1

IdentifierTypeStateIssuer
131901900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20031211000979 DC Practitioner - Medical OncologyPractitioner - Internal Medicine 0042116709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rcca MD LLCGroup PAC ID 8123310208, 5 clinicians
Maryland Oncology Hematology PAGroup PAC ID 2062302102, 96 clinicians

Practice addresses (Care Compare)

18111 Prince Philip Dr
Olney, MD 20832-1513
Phone (301) 774-6136

9715 Medical Ctr Dr
Suite 221
Rockville, MD 20850-6319
Phone (301) 279-7510

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018

Merit-based Incentive Payment System (MIPS)

Final score
91.29 of 100Reported as individual
Quality
78.55
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0060335MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Oncology Hematology P.a. Hematology & Oncology CurrentSince Jul 5, 2025 Accepting new patients
Rcca MD LLC Hematology & Oncology CurrentSince Jun 10, 2016 Accepting new patients
Rcca MD LLC Hematology & Oncology CurrentSince Jun 10, 2016 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Jul 5, 2025 Accepting new patients
Maryland Oncology Hematology, P.a. Hematology & Oncology Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

11720 Beltsville Dr
Ste 300
Beltsville, MD 20705

6420 Rockledge Dr
Ste 4200
Bethesda, MD 20817
Phone (301) 564-5000

5454 Wisconsin Ave
Ste 1300
Chevy Chase, MD 20815
Phone (301) 657-4588

22616 Gateway Center Dr
Ste C
Clarksburg, MD 20871
Phone (301) 685-6300

46B Thomas Johnson Dr
#200
Frederick, MD 21702
Phone (301) 695-6777

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

18111 Prince Philip Dr
Ste 327
Olney, MD 20832
Phone (301) 744-6136

9715 Medical Center Dr
Rockville, MD 20850
Phone (301) 340-8855

9715 Medical Center Dr
Ste 221
Rockville, MD 20850
Phone (301) 279-7510

11886 Healing Way
Ste 701
Silver Spring, MD 20904
Phone (301) 933-3216

5961 Exchange Dr
Ste 100
Sykesville, MD 21784
Phone (410) 964-2212

Interoperability endpoints

  • Direct secure messaging: paul.bannen@mdonc.ikm.direct-ci.com

Organizations & group practices 7

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.

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1942392899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR",
            "address_2": "# 327 MILLER KAPLAN AND RAJAGOPAL PC",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-774-6136",
            "fax_number": "301-570-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR",
            "address_2": "# 327 MILLER KAPLAN AND RAJAGOPAL PC",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-774-6136",
            "fax_number": "301-570-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNEN",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0060335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131901900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.