Krista Maureen Bannon, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301092722 Issued in MI

Practice address

441 S Livernois Rd Ste 260
Rochester Hills, MI 48307-2593

Phone

(248) 855-5355

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Krista Maureen Zayouna Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

General Surgery

Education

Meharry Medical College School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Advanced Vein Therapies PLLCGroup PAC ID 5496750523, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.09 of 100Reported as group

Quality

64.18

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbannon1116240@direct.hfhs.org
• FHIR API: https://api.platform.athenahealth.com/12478/brand/1/csg/1/fhir/r4
• Direct secure messaging: krista.bannon.1@12478.direct.athenahealth.com

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.

• Advanced Vein Therapies PLLC

  • Diagnostic Radiology Physician
  • Novi, MI
  • NPI 1205841640
  Medicare reassignment Care Compare group NPD
• Miller Vein - Dearborn

  • Vascular & Interventional Radiology Physician
  • Novi, MI
  • NPI 1285911156
  NPD (past)
• MVC PA PLLC

  • Surgery Physician
  • Trevose, PA
  • NPI 1669930798
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1184886533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVERFRONT DR",
            "address_2": "UNIT 11B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264516",
            "telephone_number": "312-282-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 260",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072593",
            "telephone_number": "248-855-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16001 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "48075",
            "country_code": "US",
            "telephone_number": "248-849-3091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNON",
        "first_name": "KRISTA",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301092722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "ZAYOUNA",
            "middle_name": "MAUREEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriella Cristina Baldino
• Andrea Baldridge
• Bradley Allan Banas, PT
• Murad Bani Hani, M.D.
• Latrice Renee Banks, RD
• Mary-Suzanne Bante, LPC
• Banyan Rochester Hills, LLC
• Lisa Ann Barber, LPC
• Barclay Internists LLC
• Barclay Physical Therapy, Inc

• Surgery Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.