Active NPI
Luciano Roman Banegas, MD
- Anesthesiology Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101267544
- Practice address
- 8901 Wisconsin Ave
Bethesda, MD 20889-0004 - Phone
- (301) 295-9382
- NPI assigned
- Feb 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 0101267544 | VA | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave
Bethesda, MD 20889-0004
Mailing address
8901 Wisconsin Ave
Bethesda, MD 20889-0004
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Rutgers New Jersey Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000
400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3800
Hospital & facility affiliations
- Suburban Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.85 of 100
- Quality
- 57.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32780 | WV | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Colonies Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Dominion Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Inova Cares - Community | Anesthesiology | Current | Accepting new patients |
| West Virginia University Medical Corporation | Anesthesiology | Current | Accepting new patients |
Locations
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Organizations & group practices 8
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.
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Anesthesiology
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- Health Maintenance Organization
- Washington, DC
- NPI 1093016933
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1245730720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890004",
"telephone_number": "301-295-9382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN BANEGAS",
"first_name": "LUCIANO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-20",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101267544",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "8901 Wisconsin Ave",
"city": "Bethesda",
"state": "MD",
"country_code": "US",
"postal_code": "208890004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.