MADHUSUDHAN REDDY BANDA MD
NPI 1164529293
Internal Medicine - Endocrinology, Diabetes & Metabolism in The Villages, FL

Q: What is Madhusudhan Banda's NPI number?

The NPI number for Madhusudhan Banda is 1164529293. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Madhusudhan Banda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Madhusudhan Banda was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159(352) 259-2159(352) 259-5731 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 16, 2022, Jan 2, 2017 (2 updates tracked since 2017).

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About Madhusudhan Reddy Banda Md NPPES

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

MADHUSUDHAN REDDY BANDA MD (NPI 1164529293) is an individual endocrinology, diabetes & metabolism provider in The Villages, Florida, licensed in Florida (ME96957) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1164529293

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameMADHUSUDHAN REDDY BANDACredential: MD

Location Address1580 SANTA BARBARA BLVDThe Villages, FL 32159-6827

Mailing Address1580 Santa Barbara BlvdThe Villages, FL 32159-6827 · (352) 259-2159 · Fax (352) 259-5731

Phone(352) 259-2159

Fax(352) 259-5731

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateSeptember 20, 2006

Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration

NPPES CertifiedNovember 16, 2022

✔ NPI 1164529293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in FL · ME96957

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1580 SANTA BARBARA BLVD, The Villages, FL 32159

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Other Identifiers 2

Medicaid277031800FL

Other56688FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Madhusudhan Reddy 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 ID244289577

PECOS Enrollment IDI20070117000299

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.

Medicare Billing Reassignments

Medicare enrollment records show Madhusudhan Banda reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Medical Associates All Florida, LLC

Same address

Internal Medicine

1580 SANTA BARBARA BLVD, SUITE C
The Villages, FL 32159

Reassigned Medicare billing, Florida enrollment
92 clinicians in this Medicare group

NPI 1093829442 (352) 259-2159

Premier Medical Associates Of Florida Healthcare, PA

Same address

Internal Medicine

1580 SANTA BARBARA BLVD
The Villages, FL 32159

Reassigned Medicare billing, Florida enrollment
99 clinicians in this Medicare group

NPI 1023612827 (352) 259-2159

Premier Medical Associates Of Florida LLC

Same address

Internal Medicine

1580 SANTA BARBARA BLVD
The Villages, FL 32159

Reassigned Medicare billing, Florida enrollment
70 clinicians in this Medicare group

NPI 1366046179 (352) 259-2159

Premier Specialty Alliance Inc

Same address

Internal Medicine

1580 SANTA BARBARA BLVD
The Villages, FL 32159

Reassigned Medicare billing, Florida enrollment
16 clinicians in this Medicare group

NPI 1477970606 (352) 259-2159

Premier Specialty Care LLC

Same address

Internal Medicine

1580 SANTA BARBARA BLVD
The Villages, FL 32159

Reassigned Medicare billing, Florida enrollment
49 clinicians in this Medicare group

NPI 1386404127 (352) 259-2159

Premier Urgent Care Of The Villages LLC

Same address

Urgent Care

1580 SANTA BARBARA BLVD STE 3
The Villages, FL 32159

Reassigned Medicare billing, Florida enrollment
11 clinicians in this Medicare group

NPI 1588983837 (352) 565-7675

Orlando Inpatient Medicine, PA

42 mi

Internal Medicine

1507 S HIAWASSEE RD STE 206
Orlando, FL 32835

Reassigned Medicare billing, Florida enrollment
119 clinicians in this Medicare group

NPI 1902287899 (407) 445-9545

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 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.

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.

709 services381 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

332 services185 patients

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.

319 services56 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.

171 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

113 services113 patients

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.

25 services24 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%272 patients5/55-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 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

5 suppliers31 claims395 services$18.30 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

5 suppliers34 claims1,078 services$2.36 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

3 suppliers31 claims31 services$173.24 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

35 suppliers115 claims623 services$6.49 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers13 claims14 services$2.91 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

20 suppliers53 claims126 services$1.13 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.

DR. BROOKE E ALEXANDER DO

Family Medicine