Active NPI
Nicholas Lee Bandy, MD
- Vascular Surgery Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 0101265483
- Practice address
- 2075 Glenn Mitchell Dr Ste 512
Virginia Beach, VA 23456-0179 - Phone
- (757) 507-8850
- NPI assigned
- Mar 29, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M-2211 | GU | |
| Surgical Critical Care Physician | 2086S0102X | M-2211 | GU | |
| Surgical Critical Care Physician | 2086S0102X | 0101265483 | VA | |
| Vascular Surgery Physician | 2086S0129X | 0101265483 | VA | Primary |
Addresses
Primary practice location
2075 Glenn Mitchell Dr Ste 512
Virginia Beach, VA 23456-0179
Mailing address
2075 Glenn Mitchell Dr Ste 512
Virginia Beach, VA 23456-0179
Phone (757) 507-8850
Other practice location 1
825 Fairfax Ave Ste 610
Norfolk, VA 23507-1912
Phone (757) 446-8960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Eastern Virginia Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 483-0000
Hospital & facility affiliations
- CJW Medical Center
- Sentara Norfolk General Hospital
- Sentara Virginia Beach General Hospital
- Sentara Leigh Hospital
- Sentara Obici Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-2211 | GU | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Urgent Specialty Associates PLLC | Surgery | Current | Accepting new patients |
| Sentara Medical Group | Vascular Surgery | Current | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
1850 Town Center Pkwy
Ste 309
Reston, VA 20190
Phone (703) 705-4180
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
7101 Jahnke Rd
Ste 260
Richmond, VA 23225
Phone (804) 716-7755
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
2790 Godwin Blvd
Ste 305
Suffolk, VA 23434
Phone (757) 934-4222
2075 Glenn Mitchell Dr
Ste 512
Virginia Beach, VA 23456
Phone (757) 507-8850
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 and National Provider Directory roles.
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1982947784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 GLENN MITCHELL DR STE 512",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560179",
"telephone_number": "757-507-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 GLENN MITCHELL DR STE 512",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560179",
"telephone_number": "757-507-8850"
}
],
"practiceLocations": [
{
"address_1": "825 Fairfax Ave Ste 610",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071912",
"country_code": "US",
"telephone_number": "757-446-8960",
"fax_number": "757-446-5197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANDY",
"first_name": "NICHOLAS",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-29",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GU",
"license": "M-2211",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "GU",
"license": "M-2211",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "VA",
"license": "0101265483",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101265483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.