Individual provider Active NPI

Daniel Edward Banach, MD

  • Family Medicine Physician
  • Prattville, AL
National Provider Identifier
1114913787
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AL23409 Issued in AL
Practice address
204 Medical Center CT
Prattville, AL 36066-7288
Phone
(334) 361-3090
Fax
(334) 361-2090
NPI assigned
Sep 20, 2005
Last updated
Aug 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AL23409 AL Primary

Addresses

Primary practice location

204 Medical Center CT
Prattville, AL 36066-7288

Mailing address

204 Medical Center CT
Prattville, AL 36066-7288
Phone (334) 361-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110408000260 AL Practitioner - Family Practice 7618151085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care Associates PrattvilleGroup PAC ID 9931450772, 4 clinicians

Practice addresses (Care Compare)

744 E Main St
Prattville, AL 36067-3620
Phone (334) 568-2273

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL23409ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care Associates Prattville CurrentSince Apr 16, 2023 Accepting new patients

Locations

102 Medical Center Dr
Ste A
Prattville, AL 36066
Phone (205) 253-2205

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIGICD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIGICD/Endpoint/GIGICD

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 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1114913787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEDICAL CENTER CT",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667288",
            "telephone_number": "334-361-3090",
            "fax_number": "334-361-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL CENTER CT",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667288",
            "telephone_number": "334-361-3090",
            "fax_number": "334-361-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANACH",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "AL23409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.