HIMANSHU KUMAR BANDA M.D.
NPI 1205179496
Ophthalmology - Retina Specialist in Tacoma, WA

Active since April 05, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2245 S 19TH ST # 200, TACOMA, WA 98405(253) 572-1444 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2023, Jul 2, 2019, Jul 6, 2017 (3 updates tracked since 2017).

About Himanshu Kumar Banda M.d. NPPES

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

HIMANSHU KUMAR BANDA M.D. (NPI 1205179496) is an individual retina specialist in Tacoma, Washington, licensed in Washington (MD60939902) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2013).

NPPES Registry Identity

NPI1205179496
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameHIMANSHU KUMAR BANDACredential: M.D.
Location Address2245 S 19TH ST # 200Tacoma, WA 98405-2945
Mailing Address2245 S 19th St # 200Tacoma, WA 98405-2945 · (253) 572-1444
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2013
Enumeration DateApril 5, 2013
Last NPPES UpdateJuly 18, 20233 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1205179496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in WA · MD60939902
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD60939902 (WA)
2245 S 19TH ST # 200, Tacoma, WA 98405

Accepted 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

Himanshu Kumar Banda M.d. 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 ID8022388511
PECOS Enrollment IDI20190621001043
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 21

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
92,520 services494 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
2,454 services953 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
2,354 services1,070 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,058 services403 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
810 services660 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
784 services663 patients

Hospital Affiliations CMS Care Compare

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

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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 Himanshu Banda's NPI number?

The NPI number for Himanshu Banda is 1205179496. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Where is Himanshu Banda located?

Himanshu Banda practices at 2245 S 19th St # 200, Tacoma, WA 98405. The listed phone number is (253) 572-1444.

What is Himanshu Banda's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Himanshu Banda enrolled in Medicare?

Yes. Himanshu 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 Himanshu Banda accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Himanshu 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 Himanshu Banda affiliated with any hospitals?

According to CMS data, Himanshu Banda is affiliated with Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Himanshu Banda was last updated on July 18, 2023. 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.