Organization Active NPI

Nia D. Banks, MD, PHD, LLC

  • Specialist
  • Glen Burnie, MD
National Provider Identifier
1235362807
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0067794 Issued in MD
Legal business name
NIA D. BANKS, MD, PHD, LLC
Doing business as
Beaux Arts Institute of Plastic Surgery
Practice address
325 Hospital Dr Ste 209
Glen Burnie, MD 21061-5807
Phone
(301) 880-7022
Fax
(301) 880-0524
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Dr. Nia D Banks, MDNPI 1255478533
Title
President
Phone
(301) 880-7022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0067794 MD Primary

Addresses

Primary practice location

325 Hospital Dr Ste 209
Glen Burnie, MD 21061-5807

Mailing address

325 Hospital Dr Ste 209
Glen Burnie, MD 21061-5807
Phone (301) 880-7022

Other names 1

  • Beaux Arts Institute of Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250103000010 MD Part B Supplier - Clinic/Group Practice 0941342729 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory

Locations

325 Hospital Dr
Ste 209
Glen Burnie, MD 21061
Phone (410) 766-5656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1235362807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 209",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615807",
            "telephone_number": "301-880-7022",
            "fax_number": "301-880-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 209",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615807",
            "telephone_number": "301-880-7022",
            "fax_number": "301-880-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIA D. BANKS, MD, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "NIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-880-7022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0067794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaux Arts Institute of Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.