DR. MARY CONSOLATA BANDA (MD) – Internal Medicine Physician, NPI 1265481311

DR. MARY CONSOLATA BANDA (MD) is a healthcare provider. based in Springfield, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 75967 (MA). The NPI Number for DR. MARY CONSOLATA BANDA (MD) is 1265481311

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY CONSOLATA BANDA (MD)
NPI
1265481311
Phone
(413) 748-9321
Address
271 Carew St
Enumeration Date
8 May 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3374080805
Graduation Year
1989 (37 years ago)
PAC ID
9133116239
Group Practice PAC ID
9931571437
Professional Enrollment ID
I20040429000978
Address ID
MA011511056SP819XXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for DR. MARY CONSOLATA BANDA (MD)

  • 271 Carew St

    Mercy Inpatient Medical Assoc

    Springfield, MA 011042377

    Phone: (413) 748-9321

    Fax: (413) 452-6080

    Type: Location

  • 40, Ocean View Place, Rakaia Huts, Selwyn District, Canterbury, New Zealand

    HARRINGTON PHYSICIAN SERVICES, INC.

    SOUTHBRIDGE, MA 015500040

    Phone: (508) 909-7799

    Fax: (508) 764-2432

    Type: Mailing

  • Harrington Hospital, 100, South Street, Globe Village, Southbridge, Worcester County, Massachusetts, 01550, United States

    HARRINGTON PHYSICIAN SERVICES, INC.

    SOUTHBRIDGE, MA 015504051

    Phone: (508) 765-9771

    Fax: (508) 909-7735

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040429000978IInternal MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931571437View full group profile
NameSpecialtyState
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Internal Medicine, HospitalistMA
Hospitalist, Internal MedicineMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MARY CONSOLATA BANDA (MD)?
NPI 1265481311 is assigned to DR. MARY CONSOLATA BANDA (MD) under the national enumeration system.
Is DR. MARY CONSOLATA BANDA (MD) currently active in the NPI registry?
CMS-published data lists DR. MARY CONSOLATA BANDA (MD) as an active registrant.
Does DR. MARY CONSOLATA BANDA (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. MARY CONSOLATA BANDA (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARY CONSOLATA BANDA (MD)?
The snapshot lists Springfield, Massachusetts for DR. MARY CONSOLATA BANDA (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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