Active NPI
Benjamin Aaron Banasiewicz, MD
- Obstetrics & Gynecology Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 58163
- Practice address
- 523 Park St
Bowling Green, KY 42101-1765 - Phone
- (270) 781-0075
- Fax
- (270) 796-2250
- NPI assigned
- Apr 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 58163 | KY | Primary |
Addresses
Primary practice location
523 Park St
Bowling Green, KY 42101-1765
Mailing address
PO Box 2697
Bowling Green, KY 42102-7697
Phone (270) 745-1100
Other practice location 1
910 Wallace Ave Ste 302
Leitchfield, KY 42754-2418
Phone (270) 259-2700
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbanasiewicz289722@direct.vidanthealth.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | bbanasiewicz131100@direct.owensborohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231111000203 | KY | Practitioner - Obstetrics/Gynecology | 6204161474 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Health Corporation, Inc.
Practice addresses (Care Compare)
523 Park St
Bowling Green, KY 42101-1765
Phone (270) 781-0075
Hospital & facility affiliations
- The Medical Center (Bowling Green)
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (8 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Past | Accepting new patients | |
| Commonwealth Health Corporation | Past | Accepting new patients |
Locations
523 Park St
Bowling Green, KY 42101
Phone (270) 393-8418
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
910 Wallace Ave
Ste 302
Leitchfield, KY 42754
Phone (270) 259-2700
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
Networks
- KY PPO
- KY PPO C-SNP
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGIABA/Endpoint/GGIABA
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Bowling Green, KY
- NPI 1437678935
-
- Obstetrics & Gynecology Physician
- Bowling Green, KY
- NPI 1942235379
Obstetrics & Gynecology
-
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Diagnostic Radiology Physician
- Leitchfield, KY
- NPI 1922814136
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
-
- Family Medicine Physician
- Scottsville, KY
- NPI 1508899089
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1013479922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2697",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421027697",
"telephone_number": "270-745-1100",
"fax_number": "270-745-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011765",
"telephone_number": "270-781-0075",
"fax_number": "270-796-2250"
}
],
"practiceLocations": [
{
"address_1": "910 Wallace Ave Ste 302",
"address_purpose": "LOCATION",
"city": "Leitchfield",
"state": "KY",
"postal_code": "427542418",
"country_code": "US",
"telephone_number": "270-259-2700",
"fax_number": "270-259-2717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANASIEWICZ",
"first_name": "BENJAMIN",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "58163",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbanasiewicz289722@direct.vidanthealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbanasiewicz131100@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "910 Wallace Ave Ste 302",
"city": "Leitchfield",
"state": "KY",
"country_code": "US",
"postal_code": "427542418",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.