| Imran Ali-bandesha, MD | |
|
100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | |
| (254) 202-2000 | |
| (254) 202-5651 |
| Full Name | Imran Ali-bandesha |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 12 Years |
| Location | 100 Hillcrest Medical Blvd, Waco, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306468830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 324283 (New York) | Secondary |
| 207R00000X | Internal Medicine | V5487 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center Hillcrest | Waco, TX | Hospital |
| Mountain View Regional Medical Center | Las cruces, NM | Hospital |
| Gerald Champion Regional Medical Center | Alamogordo, NM | Hospital |
| Mimbres Memorial Hospital | Deming, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Otero County Hospital Association | 3173516606 | 178 |
| Las Cruces Hb Medical Services Llc | 8123473600 | 123 |
| Hillcrest Physician Services | 1153304456 | 106 |
| Entity Name | Otero County Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861450579 PECOS PAC ID: 3173516606 Enrollment ID: O20070212000377 |
| Entity Name | Western Mountain Hospital Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992278360 PECOS PAC ID: 1052659737 Enrollment ID: O20220809002964 |
| Entity Name | Las Cruces Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598446171 PECOS PAC ID: 8123473600 Enrollment ID: O20231018003832 |
| Mailing Address | Practice Location Address |
|---|---|
| Imran Ali-bandesha, MD Po Box 848491, Dallas, TX 75284-8491 Ph: (254) 202-9330 | Imran Ali-bandesha, MD 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 Ph: (254) 202-2000 |
Isaac Lill, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5651 | |
Dr. Anugu Bhooma Reddy, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-752-6581 | |
Soni Jose, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 Medical Pkwy, Waco, TX 76712 Phone: 914-649-3636 | |
Dr. Sabine Michaela Roman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Richland West Cir, Waco, TX 76712 Phone: 254-537-6200 | |
Micah S Meyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2329 N 39th St, Waco, TX 76708 Phone: 254-752-5503 Fax: 254-752-4844 | |
Hing-sheung Eugene Fung, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 611 W Hwy 6 Ste 101, Waco, TX 76710 Phone: 254-755-4582 Fax: 254-755-4585 | |
Dr. Charles Benjamin Rives, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 364 Richland West Cir Ste A, Waco, TX 76712 Phone: 254-537-0911 Fax: 254-537-0313 |