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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAHLER DIANE BANDARRA
NPI 1043895501
General Practice in Bethesda, MD

Active since March 16, 2021PECOS Enrolled
4494 NORTH PALMER ROAD, BETHESDA, MD 20889(301) 295-4440 Get Directions Write a Review

NPPES record last updated: June 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tahler Diane Bandarra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAHLER DIANE BANDARRA (NPI 1043895501) is an individual general practice provider in Bethesda, Maryland, licensed in Virginia (0101282242) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043895501
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameTAHLER DIANE BANDARRA
Location Address4494 NORTH PALMER ROADBethesda, MD 20889-0001
Mailing Address4494 North Palmer RoadBethesda, MD 20889-0001 · (301) 295-4440
Phone(301) 295-4440
Sole ProprietorNo
Enumeration DateMarch 16, 2021
Last NPPES UpdateJune 13, 2026
NPPES CertifiedJune 13, 2026
✔ NPI 1043895501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101282242
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4494 NORTH PALMER ROAD, Bethesda, MD 20889
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tahler Diane Bandarra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

NATALIE HARRELL SCHNEIDERMAN CF-SLP
Speech-Language Pathologist
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4864
JANICE LEE
Pharmacist
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4000
DR. SENNAY GHENBOT MD
Student in an Organized Health Care Education/Training Program
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4000
THOMAS MICHAEL DEPIETRO DO
Student in an Organized Health Care Education/Training Program
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (800) 526-7101
DR. CORY GEOGHEGAN DO
Anesthesiology
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4455
DR. MIN KI HONG DO
Internal Medicine
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (855) 227-6331
ABENA GREEN MD
Military Health Care Provider
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (301) 295-4000
CARLY ELAINE HARRIS
Nurse Practitioner (Pediatrics, Critical Care)
4494 NORTH PALMER ROAD
BETHESDA, MD 20889
Montgomery County (804) 317-4541

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 Tahler Bandarra's NPI number?

The NPI number for Tahler Bandarra is 1043895501. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Tahler Bandarra located?

Tahler Bandarra practices at 4494 North Palmer Road, Bethesda, MD 20889. The listed phone number is (301) 295-4440.

What is Tahler Bandarra's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Tahler Bandarra enrolled in Medicare?

Yes. Tahler Bandarra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tahler Bandarra was last updated on June 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.