DR. BALNATH BHANDARY MD
NPI 1154415057
Internal Medicine in Montgomery Village, MD

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
18550 OFFICE PARK DR, MONTGOMERY VILLAGE, MD 20886(301) 330-2700(301) 990-7170 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Balnath Bhandary Md NPPES

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

DR. BALNATH BHANDARY MD (NPI 1154415057) is an individual internal medicine provider in Montgomery Village, Maryland, licensed in Maryland (B0055109) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1154415057
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BALNATH BHANDARYCredential: MD
Location Address18550 OFFICE PARK DRMontgomery Village, MD 20886
Mailing Address3804 Fox Valley DrRockville, MD 20853 · (301) 870-0557 · Fax (301) 990-7170
Fax(301) 990-7170
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1154415057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · B0055109
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.

18550 OFFICE PARK DR, Montgomery Village, MD 20886

Other Identifiers 2

Medicare ID-Type Unspecified003815P50
Medicare UPINH00555

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

Dr. Balnath Bhandary 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 ID941384861
PECOS Enrollment IDI20080229000530
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 17

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
534 services327 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
419 services419 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
358 services281 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
254 services254 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
210 services206 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
131 services131 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20886 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers69 claims184 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers34 claims46 services$1.10 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.76 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$31.19 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers17 claims380 services$2.62 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers13 claims78 services$15.06 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
18550 OFFICE PARK DR
GAITHERSBURG, MD 20886
Internal Medicine (Cardiovascular Disease)
18550 OFFICE PARK DR
MONTGOMERY VILLAGE, MD 20886
Legal Medicine
18550 OFFICE PARK DR
MONTGOMERY VILLAGE, MD 20886
Physician Assistant
18550 OFFICE PARK DR
MONTGOMERY VILLAGE, MD 20886
Internal Medicine
18550 OFFICE PARK DR
MONTGOMERY VILLAGE, MD 20886
General Practice
18550 OFFICE PARK DR
MONTGOMERY VILLAGE, MD 20886

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 Balnath Bhandary's NPI number?

The NPI number for Balnath Bhandary is 1154415057. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Balnath Bhandary located?

Balnath Bhandary practices at 18550 Office Park Dr, Montgomery Village, MD 20886. The listed phone number is (301) 330-2700.

What is Balnath Bhandary's specialty?

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

Is Balnath Bhandary enrolled in Medicare?

Yes. Balnath Bhandary 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.

When was this NPI record last updated?

The NPPES record for Balnath Bhandary was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.