DR. PEDRO M. BANDA MD
NPI 1033106877
Urology in Milwaukee, WI
About Dr. Pedro M. Banda Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PEDRO M. BANDA MD (NPI 1033106877) is an individual urology provider in Milwaukee, Wisconsin, licensed in Wisconsin (45820) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Wisconsin School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Pedro M. Banda Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Pedro Banda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 clinicians in this Medicare group
Milwaukee, WI 53213
- Reassigned Medicare billing, Wisconsin enrollment
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Columbia St Mary's Hospital Milwaukee
Acute Care Hospitals · Milwaukee, WIAscension All Saints Hospital
Acute Care Hospitals · Racine, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53211
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pedro Banda's NPI number?
The NPI number for Pedro Banda is 1033106877. It was assigned to this individual provider in the NPPES registry on October 5, 2005.
Where is Pedro Banda located?
Pedro Banda practices at 2311 N Prospect Ave, Milwaukee, WI 53211. The listed phone number is (414) 319-3000.
What is Pedro Banda's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Pedro Banda enrolled in Medicare?
Yes. Pedro Banda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Pedro Banda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Banda reassigns Medicare benefits to 2 organizations: Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI) and Wisconsin Health Fund (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Banda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pedro Banda accept?
Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Pedro Banda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Pedro Banda affiliated with any hospitals?
According to CMS data, Pedro Banda is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.
When was this NPI record last updated?
The NPPES record for Pedro Banda was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Pedro M. Banda, MD · NPI 1033106877
Urology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since October 5, 2005.
## Identity
- **NPI:** 1033106877 (Entity type: Individual)
- **Enumerated:** October 5, 2005
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 45820 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2311 N PROSPECT AVE, Milwaukee, WI 53211-4445
- **Phone:** (414) 319-3000 · **Fax:** (414) 319-3087
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Columbia St. Mary's Hospital Milwaukee Inc (NPI 1225071491, Milwaukee, WI); Wisconsin Health Fund (NPI 1497768659, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** June 7, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1033106877) · Data from the CMS NPPES public registry.