Individual provider Active NPI

Rajesh S Banker, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Newport Beach, CA
National Provider Identifier
1043425036
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A90635 Issued in CA
Practice address
520 Superior Ave
Suite 330
Newport Beach, CA 92663-3637
Phone
(949) 478-7373
Fax
(949) 650-2898
NPI assigned
May 11, 2007
Last updated
Jul 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X A90635 CA Primary

Addresses

Primary practice location

520 Superior Ave
Suite 330
Newport Beach, CA 92663-3637

Mailing address

520 Superior Ave
Suite 330
Newport Beach, CA 92663-3637
Phone (949) 478-7373

Other identifiers 1

IdentifierTypeStateIssuer
BC027XOtherCAMEDICARE INDIVIDUAL PTAN ASSIGNED TO PREMIER CARDIOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081223000570 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 4880756923 Reassigns benefits to 2 organizations
I20141212000160 CA Practitioner - Cardiac Electrophysiology 4880756923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Cardiology IncGroup PAC ID 0143365536, 7 clinicians

Practice addresses (Care Compare)

401 Old Newport Blvd
Newport Beach, CA 92663-4289
Phone (949) 478-7373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
28.4 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
66.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair58
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90635CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiology Inc. CurrentSince Nov 2, 2010 Accepting new patients
UC Regents CurrentSince Sep 1, 2013 Accepting new patients
UC Regents CurrentSince Sep 1, 2013 Accepting new patients
UC Regents Current Accepting new patients
UC Regents Past Accepting new patients
UC Irvine Health- Newport Doctors Medical Group- Radiology Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

401 Old Newport Blvd
Ste 201
Newport Beach, CA 92663
Phone (949) 478-7373

520 Superior Ave
Ste 330
Newport Beach, CA 92663
Phone (949) 478-7373

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 25
Orange, CA 92868
Phone (714) 456-5731

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1043425036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-478-7373",
            "fax_number": "949-650-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 330",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-478-7373",
            "fax_number": "949-650-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKER",
        "first_name": "RAJESH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A90635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN ASSIGNED TO PREMIER CARDIOLOGY",
            "identifier": "BC027X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.