PRAKASH BANDARI (M.D.) – Internal Medicine Physician, NPI 1407812084
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,722 INTERNAL MEDICINE in MA
Provider Addresses for PRAKASH BANDARI (M.D.)
67 UNION ST STE 503
NATICK, MA 017607700
Phone: (508) 651-9503
Fax: (508) 651-9504
Type: Location
171 MAIN ST STE 203B
ASHLAND, MA 017211187
Phone: (508) 881-3029
Fax: (508) 881-1752
Type: Mailing
Harvard Vanguard, 147, Milk Street, Dock Square, Financial District, Boston, Suffolk County, Massachusetts, 02110, United States
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON, MA 021094806
Phone: (617) 559-8053
Fax: (617) 421-3487
Type: Mailing
111, Grossman Drive, The Marketplace at Braintree, Braintree, Norfolk County, Massachusetts, 02184, United States
BRAINTREE, MA 021844997
Phone: (781) 849-1000
Fax: (781) 849-0081
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: 180 Medical, Inc. ($53).
Total Amount
$136
General + Research + Ownership
Payments
5
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-09-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050921000485 | I | Internal Medicine | MA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 210 | 87 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 62 | 53 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 54 | 54 | $0 |
| 81003 | Automated urinalysis test | 51 | 44 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 48 | 48 | $0 |
Insurance plans in this area (ZIP 01760)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Family Practice | MA | |
| - | MA | |
| Internal Medicine | MA |
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