Sudesh Banaji, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-2308 Issued in AR

Practice address

332 E Cook St
Forrest City, AR 72335-2830

Phone

(870) 630-2233

Fax

(870) 630-2224

NPI assigned

Jul 20, 2005

Last updated

Aug 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

92.4 of 100Reported as individual

Quality

89.95

Improvement activities

40

Cost

73.9

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir.yourcareuniverse.net/tenant/5456aafa-f937-4c1a-bbe8-251621260178
• Direct secure messaging: sbanaji@yourcarecommunity.org
• Direct secure messaging: sudeshbanaji1@imedfc.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sudesh Banaji MD PLLC

  dba Earle Family Medical Clinic

  • Rural Health Clinic/Center
  • Earle, AR
  • NPI 1639319411
  Authorized official Same address or phone
• Sudesh Banaji, MD, PLLC

  dba Internal Medicine of Forrest City

  • Internal Medicine Physician
  • Forrest City, AR
  • NPI 1659455830
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1003815192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 EAST COOK STREET",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723359183",
            "telephone_number": "870-630-2233",
            "fax_number": "870-630-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E COOK ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352830",
            "telephone_number": "870-630-2233",
            "fax_number": "870-630-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAJI",
        "first_name": "SUDESH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5F219",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138381001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Arens
• Arkansas Department of Health
• Arkansas Homecare of Forrest City, LLC (Elite Home Health)
• Kaneisha Austin, QBHP
• Paul Bailey III, LPC
• Brandi Nicole Banks, CM
• Likeselam Bantu, PHARMD
• Baptist Memorial Homecare Forrest City (Baptist Memorial Home Care and Hospice Forrest City)
• Baptist Memorial Hospice (Baptist Memorial Home Care and Hospice)
• Shanneka Barber

• Internal Medicine Physician in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.