Individual provider Active NPI

Mahmoud El Banna, M.D.

  • Internal Medicine Physician
  • Somerset, NJ
National Provider Identifier
1194036483
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09261400 Issued in NJ
Practice address
1323 State Route 27
Somerset, NJ 08873-3457
Phone
(732) 828-0200
Fax
(732) 828-0300
NPI assigned
Jul 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09261400 NJ Primary

Addresses

Primary practice location

1323 State Route 27
Somerset, NJ 08873-3457

Mailing address

1323 State Route 27
Somerset, NJ 08873-3457
Phone (732) 828-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20131119000476 NJ Practitioner - Internal Medicine 1850527003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Peters University HospitalGroup PAC ID 9931012382, 158 clinicians
Saint Peter'S Healthcare System Physician AssociatesGroup PAC ID 9537337258, 44 clinicians

Practice addresses (Care Compare)

123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 745-8600

240 Easton Ave
TRD FL Attn Man Care
New Brunswick, NJ 08901-1723
Phone (732) 565-5453

59 Veronica Ave
Somerset, NJ 08873-3579

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Cranford, NJ, CCN 317020
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S Healthcare System Physician Associates CurrentSince Oct 1, 2013 Accepting new patients
Saint Peter'S University Hospital CurrentSince Aug 21, 2018 Accepting new patients
Saint Peter'S University Hospital CurrentSince Aug 21, 2018 Accepting new patients
Riverside Medical Group Past Accepting new patients

Locations

2 Research Way
Ste 307
Monroe Twp, NJ 08831
Phone (609) 409-4500

254 Easton Ave
Ofc
New Brunswick, NJ 08901
Phone (732) 745-6674

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

222 Easton Ave
New Brunswick, NJ 08901
Phone (732) 246-0288

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

1323 State Route 27
Somerset, NJ 08873
Phone (732) 246-1441

59 Veronica Ave
Ste 201
Somerset, NJ 08873
Phone (732) 828-0200

Interoperability endpoints

  • Direct secure messaging: mahmoud.el.banna.1@8568.direct.athenahealth.com
  • Direct secure messaging: mahmoud.el.banna.2@8568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1194036483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 STATE ROUTE 27",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733457",
            "telephone_number": "732-828-0200",
            "fax_number": "732-828-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 STATE ROUTE 27",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733457",
            "telephone_number": "732-828-0200",
            "fax_number": "732-828-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL BANNA",
        "first_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09261400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.