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VENKAT R BANDA MD
NPI 1083690804
Internal Medicine in Baton Rouge, LA

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
3600 FLORIDA BLVD, BATON ROUGE, LA 70806(225) 387-7070(225) 387-7700 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Venkat R Banda Md NPPES

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

VENKAT R BANDA MD (NPI 1083690804) is an individual internal medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (11275R) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1083690804
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVENKAT R BANDACredential: MD
Location Address3600 FLORIDA BLVDBaton Rouge, LA 70806
Mailing AddressPo Box 732094, Dept 235Dallas, TX 75373-2094 · (225) 387-7916 · Fax (225) 372-3717
Phone(225) 387-7070
Fax(225) 387-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 22, 2005
Last NPPES UpdateApril 27, 2016
✔ NPI 1083690804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 11275R
Definition
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.
3600 FLORIDA BLVD, Baton Rouge, LA 70806
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Other Identifiers 5

Other1083690804LA · Npi
Medicaid1661856LA
Medicare UPING15517LA
Medicare PIN5W427LA
OtherP00294988LA · Rail Road Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Venkat R 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.

PECOS PAC ID4284649823
PECOS Enrollment IDI20060217000372
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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
672 services232 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
325 services166 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
231 services91 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
95 services95 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
94 services89 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
72 services66 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

The General

Acute Care Hospitals · Baton Rouge, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190316
Location3600 Florida Blvd, Suite 2020Baton Rouge, LA 70806 · E. Baton Rouge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%101 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier30 claims894 services$4.76 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,155 services$0.34 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,833 services$0.32 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,668 services$0.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$13.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$49.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BATON ROUGE GENERAL MEDICAL CENTER
Pharmacy (Community/Retail Pharmacy)
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 387-7627
TERRY F KUNG DO
Internal Medicine
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 387-7070
DANIELLE K. BENNETT NP
Nurse Practitioner (Adult Health)
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 381-2650
STANLEY LAWRENCE BONIS MD
Internal Medicine (Cardiovascular Disease)
3600 FLORIDA BLVD, BOX 2511
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 381-6978
DR. TIMOTHY A GIRARD M.D.
Emergency Medicine
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 387-7053
PAMELA PAYMENT M.D.
Emergency Medicine
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 387-7053
BATON ROUGE GENERAL MEDICAL CENTER
Skilled Nursing Facility
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 387-7000
WILLIAM KEITH KELLUM II
Internal Medicine
3600 FLORIDA BLVD
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 387-7070

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 Venkat Banda's NPI number?

The NPI number for Venkat Banda is 1083690804. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Venkat Banda located?

Venkat Banda practices at 3600 Florida Blvd, Baton Rouge, LA 70806. The listed phone number is (225) 387-7070.

What is Venkat Banda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Venkat Banda enrolled in Medicare?

Yes. Venkat 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.

What insurance does Venkat Banda accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Venkat 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 Venkat Banda affiliated with any hospitals?

According to CMS data, Venkat Banda is affiliated with Baton Rouge General Medical Center and The General.

When was this NPI record last updated?

The NPPES record for Venkat Banda was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.