NPIMap

Individual provider Active NPI

Todd Richard Banning, D.O.

  • Cardiovascular Disease Physician
  • Lehighton, PA
National Provider Identifier
1063425437
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS-008961-L Issued in PA
Practice address
1241 Blakeslee Boulevard Dr E
Lehighton, PA 18235-2401
Phone
(570) 386-6900
Fax
(570) 386-6901
NPI assigned
Aug 15, 2006
Last updated
Aug 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS-008961-L PA Primary

Addresses

Primary practice location

1241 Blakeslee Boulevard Dr E
Lehighton, PA 18235-2401

Mailing address

1241 Blakeslee Boulevard Dr E
Lehighton, PA 18235-2401
Phone (570) 386-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000143 PA Practitioner - Cardiovascular Disease (Cardiology) 6204805997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1241 Blakeslee Blvd Dr E
Lehighton, PA 18235-2401
Phone (570) 386-6900

1510 Fawn Valley Dr
Brodheadsville, PA 18322-7040
Phone (272) 212-0435

17 W Broad St
Tamaqua, PA 18252-1977

1700 St Lukes Blvd
Easton, PA 18045-5670

211 N 12 St
Lehighton, PA 18235-1138

235 E Brown St
Stroudsburg, PA 18301-3013
Phone (570) 645-1830

360 W Riddle St
Coaldale, PA 18218-1027

500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (484) 526-2200

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-008961-LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

17 W Broad St
Unit 2
Tamaqua, PA 18252
Phone (570) 668-5650

Organizations & group practices 3

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 10

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1063425437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 BLAKESLEE BOULEVARD DR E",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352401",
            "telephone_number": "570-386-6900",
            "fax_number": "570-386-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 BLAKESLEE BOULEVARD DR E",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352401",
            "telephone_number": "570-386-6900",
            "fax_number": "570-386-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNING",
        "first_name": "TODD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS-008961-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.