SOPAGNA BANH PA-C
NPI 1417437625
Physician Assistant in Newark, DE

Q: What is Sopagna Banh's NPI number?

The NPI number for Sopagna Banh is 1417437625. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Q: What is Sopagna Banh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sopagna Banh was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 August 16, 2018PECOS EnrolledAccepts Medicare Assignment

80.17/100

CMS Quality Rating

4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188(302) 733-5640 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2026, Dec 20, 2021, Sep 11, 2018 and 3 more (6 updates tracked since 2018).

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About Sopagna Banh Pa-c NPPES

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

SOPAGNA BANH PA-C (NPI 1417437625) is an individual physician assistant in Newark, Delaware, licensed in Delaware (C5-0012496) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Medstar Good Samaritan Hospital, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1417437625

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSOPAGNA BANHCredential: PA-C

Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718-2200

Mailing Address5601 Loch Raven BlvdBaltimore, MD 21239-2950 · (443) 444-8000

Phone(302) 623-0188

Fax(302) 733-5640

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 16, 2018

Last NPPES UpdateJuly 22, 20266 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1417437625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in DE · C5-0012496✔ Licensed in MD · C0006946

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718

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Secondary Practice Location 1

Location 15601 Loch Raven BlvdBaltimore, MD 21239 · Phone (443) 444-8000

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

Sopagna Banh Pa-c 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 ID6305180746

PECOS Enrollment IDI20260805002051

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 2

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.

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.

42 services42 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.

17 services14 patients

Hospital Affiliations CMS Care Compare

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

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210056

Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

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.

80.17/100

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

Scored as part of a group practice

Quality

76.69

Promoting Interoperability

100

Improvement Activities

Cost

53.49

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.

SHRUTI PURI MD

Internal Medicine (Infectious Disease)