Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. WAMIQ YAHYA BANDAY MBBS, MD
NPI 1659520229
Internal Medicine - Cardiovascular Disease in Sheboygan, WI

Active since September 18, 2008PECOS EnrolledAccepts Medicare Assignment
3113 SAEMANN AVE, SHEBOYGAN, WI 53081(920) 496-4700(920) 783-3121 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2026, Jul 28, 2026, Nov 3, 2023 and 5 more (8 updates tracked since 2015).

About Dr. Wamiq Yahya Banday Mbbs, Md NPPES

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

DR. WAMIQ YAHYA BANDAY MBBS, MD (NPI 1659520229) is an individual cardiovascular disease provider in Sheboygan, Wisconsin, licensed in Wisconsin (62522-20) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1659520229
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. WAMIQ YAHYA BANDAYCredential: MBBS, MD
Location Address3113 SAEMANN AVESheboygan, WI 53081-1957
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 783-3121
Fax(920) 783-3121
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 18, 2008
Last NPPES UpdateSeptember 8, 20268 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1659520229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in WI · 62522-20
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD439020 (PA), MD60156861 (WA), MD125989 (OR), 43387 (KY)
Also ListedHospitalistTaxonomy 208M00000X · License 62522-20 (WI)
3113 SAEMANN AVE, Sheboygan, WI 53081

Other Identifiers 1

Medicaid100039373WI

Accepted 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

Dr. Wamiq Yahya Banday Mbbs, 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 ID5193870327
PECOS Enrollment IDI20140812001967
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

6

Medicare enrollment records show Wamiq Banday reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
Multi-Specialty
13111 N PORT WASHINGTON RD
Mequon, WI 53097
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
Internal Medicine
3200 S 103RD ST
Milwaukee, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
Hospitalist
725 AMERICAN AVE
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 81 clinicians in this Medicare group

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 3

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.
1,013 services179 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.
99 services96 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.
33 services26 patients

Hospital Affiliations CMS Care Compare 4

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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 suppliers13 claims13 services$106.38 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 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.

Nurse Practitioner (Gerontology)
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Surgery
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Psychiatry & Neurology (Neurology)
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Internal Medicine
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Ophthalmology
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Ophthalmology
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Durable Medical Equipment & Medical Supplies
3113 SAEMANN AVE
SHEBOYGAN, WI 53081
Physician Assistant
3113 SAEMANN AVE
SHEBOYGAN, WI 53081

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 Wamiq Banday's NPI number?

The NPI number for Wamiq Banday is 1659520229. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Where is Wamiq Banday located?

Wamiq Banday practices at 3113 Saemann Ave, Sheboygan, WI 53081. The listed phone number is (920) 496-4700.

What is Wamiq Banday's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Wamiq Banday enrolled in Medicare?

Yes. Wamiq Banday 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.

Which organizations bill Medicare for Wamiq Banday's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wamiq Banday reassigns Medicare benefits to 6 organizations: St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Mequon, WI), Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), Impact Physician Group, Wisconsin LLC (Milwaukee, WI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wamiq Banday's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wamiq Banday accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and Security Health Plan list Wamiq Banday 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 Wamiq Banday affiliated with any hospitals?

According to CMS data, Wamiq Banday is affiliated with St Nicholas Hospital, Ascension Columbia St Mary's Hospital Milwaukee, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Wamiq Banday was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.