Joseph C. Banis Jr., MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

21531 Issued in KY

Practice address

2507 Bush Ridge Dr Ste B
Louisville, KY 40245-5885

Phone

(502) 589-8000

Fax

(502) 589-8001

NPI assigned

Jun 1, 2005

Last updated

May 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Prescott Plastic Surgery & Med Spa PLLC

  • Plastic and Reconstructive Surgery Physician
  • Louisville, KY
  • NPI 1124125497
  NPD
• Southern Indiana Diabetes and Endocrinology PC

  • Endocrinology, Diabetes & Metabolism Physician
  • New Albany, IN
  • NPI 1790843829
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1093717274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 BUSH RIDGE DR STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455885",
            "telephone_number": "502-589-8000",
            "fax_number": "502-589-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 BUSH RIDGE DR STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455885",
            "telephone_number": "502-589-8000",
            "fax_number": "502-589-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIS",
        "first_name": "JOSEPH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "21531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reeti Banerjee
• Timir Banerjee, M.D.
• Jacinda N Banet, COTA/L
• Ann-Marie Banfic
• Ajmal H Bangash, MD
• Banks Transportation Albany LLC (banks transportation albany ll)
• Diana Marie Banks, ARNP, CDE
• Latonya Renee Banks, APRN
• Michael Brandon Banks
• William Banks, PHARMD

• Plastic and Reconstructive Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Plastic and Reconstructive Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.