Individual provider Active NPI

Benjamin Aaron Banasiewicz, MD

  • Obstetrics & Gynecology Physician
  • Bowling Green, KY
National Provider Identifier
1013479922
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
58163 Issued in KY
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

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 268 clinicians

Practice addresses (Care Compare)

523 Park St
Bowling Green, KY 42101-1765
Phone (270) 781-0075

Hospital & facility affiliations

  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc Obstetrics & Gynecology CurrentSince Aug 30, 2023 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince May 5, 2025 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince May 5, 2025 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Aug 30, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.