Amy E Banter, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01045411 Issued in IN

Practice address

11693 Fall Creek Rd Ste 140
Indianapolis, IN 46256-9446

Phone

(317) 703-4431

Fax

(866) 475-6765

NPI assigned

Oct 20, 2005

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1023007192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11693 FALL CREEK RD STE 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462569446",
            "telephone_number": "317-703-4431",
            "fax_number": "866-475-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11693 FALL CREEK RD STE 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462569446",
            "telephone_number": "317-703-4431",
            "fax_number": "866-475-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTER",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01045411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200173180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Re'Shae Banner
• Judy A Bannister, LCSW, LCAC, SAP
• Kristin Bannister, AGACNP-BC
• Dima Bannourah, RPH
• Ronald L Banta, DPM
• Diana Lynn Bantz, APRN-BC
• Sumeet Banwait, DO
• Sonal Chavda Barad, PT
• Larisa Barannikova
• Ewa Baranska, PT

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.