Active NPI
Paul A Bannen, MD
- Hematology & Oncology Physician
- Olney, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- D0060335
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131901900 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Missouri, Columbia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Medstar Montgomery Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.29 of 100
- Quality
- 78.55
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0060335 | MD | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Oncology Hematology P.a. | Hematology & Oncology | Current | Accepting new patients |
| Rcca MD LLC | Hematology & Oncology | Current | Accepting new patients |
| Rcca MD LLC | Hematology & Oncology | Current | Accepting new patients |
| Maryland Oncology Hematology P.a. | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Laurel, MD
- NPI 1821271032
DC, Hematology & Oncology
-
- Non-Pharmacy Dispensing Site
- Silver Spring, MD
- NPI 1336693431
-
- Hematology & Oncology Physician
- Columbia, MD
- NPI 1396710703
-
- Hematology & Oncology Physician
- Chevy Chase, MD
- NPI 1437903275
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Hematology & Oncology Physician
- Toms River, NJ
- NPI 1801850243
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
-
- General Acute Care Hospital
- Olney, MD
- NPI 1114922341
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.