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DR. JOHN JEFFERYS BANDOLA M.D. NPI 1023129491


NPI Information

NPI: 1023129491
Provider Name: DR. JOHN JEFFERYS BANDOLA, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: SILVER SPRING HEALTH CARE MANAGEMENT INC

PECOS Registration: Yes

Address:
70 KENYON AVE
SUITE 326
WAKEFIELD, RI
ZIP 02879
Phone: (401) 789-8543
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DR. John Jefferys Bandola, M.D. is an internal medicine in Wakefield, RI with 46 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. John Jefferys Bandola, M.D. NPI is 1023129491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1978

The provider's business location address is:

70 KENYON AVE
SUITE 326
WAKEFIELD, RI
ZIP 02879-239
Phone: (401) 789-8543
Fax: (401) 782-8766

The NPI 1023129491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineRI5619RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000196OTHERRHODE ISLANDRHODE ISLAND BLUE CHIP
2C99021MEDICARE UPINRHODE ISLAND
3007003813MEDICARE PINRHODE ISLAND
41D9000094MEDICAIDRHODE ISLAND
5119000094MEDICARE ID-TYPE UNSPECIFIEDRHODE ISLAND
60000000094OTHERRHODE ISLANDRHODE ISLAND BLUE CROSS AND BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.