DR. NIRANJAN REDDY BANDA M.D.
NPI 1659608255
Internal Medicine in Irving, TX

Active since November 03, 2009PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
1111 KINWEST PKWY STE 140, IRVING, TX 75063(214) 550-6664 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2025, Mar 17, 2018, Oct 23, 2017 (3 updates tracked since 2017).

About Dr. Niranjan Reddy Banda M.d. NPPES

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

DR. NIRANJAN REDDY BANDA M.D. (NPI 1659608255) is an individual internal medicine provider in Irving, Texas, licensed in Texas (R0994) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with Texas Health Huguley Hospital Fort Worth South, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1659608255
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NIRANJAN REDDY BANDACredential: M.D.
Location Address1111 KINWEST PKWY STE 140Irving, TX 75063-3420
Mailing Address1111 Kinwest Pkwy Ste 140Irving, TX 75063-3420 · (214) 550-6664
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 3, 2009
Last NPPES UpdateApril 5, 20253 updates tracked since enumeration
NPPES CertifiedApril 5, 2025
NPI 1659608255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · R0994
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.

1111 KINWEST PKWY STE 140, Irving, TX 75063

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

Dr. Niranjan Reddy 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 ID4284804543
PECOS Enrollment IDI20170615001942
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 4

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.
456 services88 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.
92 services78 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.
51 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450677
Location11801 South FreewayBurleson, TX 76028 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75063 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.56
Improvement Activities40
Cost45.13

Other Providers at the Same Location NPPES

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

Internal Medicine
1111 KINWEST PKWY STE 140
IRVING, TX 75063

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 Niranjan Banda's NPI number?

The NPI number for Niranjan Banda is 1659608255. It was assigned to this individual provider in the NPPES registry on November 3, 2009.

Where is Niranjan Banda located?

Niranjan Banda practices at 1111 Kinwest Pkwy Ste 140, Irving, TX 75063. The listed phone number is (214) 550-6664.

What is Niranjan Banda's specialty?

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

Is Niranjan Banda enrolled in Medicare?

Yes. Niranjan 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 Niranjan Banda accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Niranjan 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 Niranjan Banda affiliated with any hospitals?

According to CMS data, Niranjan Banda is affiliated with Texas Health Huguley Hospital Fort Worth South.

When was this NPI record last updated?

The NPPES record for Niranjan Banda was last updated on April 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.