Kevin Lung-Wong Banks, M.D.
Individual provider Active NPI Urology Physician · Columbus, OH
NPI 1013087535 · NPPES record last updated Jun 9, 2016
Key facts
- NPI
- 1013087535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 35.082920 (OH)
- Practice address
- 500 Thomas LN
Suite 3G
Columbus, OH 43214-1401 - Phone
- (614) 788-2870
- Fax
- (614) 533-0177
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Ohio State University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Medical Group, LLC
Practice addresses (Care Compare)
751 Forest Ave
Suite 301
Zanesville, OH 43701-2875
Phone (740) 454-0804
Hospital & facility affiliations
- Genesis Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 29 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040317000917 | OH | Practitioner - Urology | 7113817768 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Urology | Current |
Accepting new patients |
| Genesis Medical Group, LLC | Current |
Accepting new patients | |
| Genesis Medical Group LLC | Current |
Accepting new patients | |
| Genesis Healthcare System | Past | Accepting new patients |
Locations
4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788
751 Forest Ave
Ste 101
Zanesville, OH 43701
Phone (740) 454-5678
751 Forest Ave
Ste 301
Zanesville, OH 43701
Phone (740) 454-0804
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35.082920 | OH | Yes |
Addresses
Primary practice location
500 Thomas LN
Suite 3G
Columbus, OH 43214-1401
Mailing address
5400 Frantz Rd
Suite 250
Dublin, OH 43016-4144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2639078 | Medicaid | OH |
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.