Robert J Banco, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

59668 Issued in MA

Practice address

25 Washington St Unit 1B
Wellesley Hills, MA 02481-1752

Phone

(617) 219-6300

Fax

(617) 219-6355

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Orthopedic Surgery

Education

Georgetown University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: banco.robert.tbsg@direct.partners.masshiway.net

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.

• Robert J. Banco, MD, PC

  • Orthopaedic Surgery of the Spine Physician
  • Wellesley, MA
  • NPI 1962889295
  Medicare reassignment NPD Authorized official
• M. Morey Farizan, M.D., P.C.

  • Vascular Surgery Physician
  • Dorchester Center, MA
  • NPI 1922100064
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newton-Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1992737761
  Care Compare affiliation

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1265434948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON ST UNIT 1B",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811752",
            "telephone_number": "617-219-6300",
            "fax_number": "617-219-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WASHINGTON ST UNIT 1B",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811752",
            "telephone_number": "617-219-6300",
            "fax_number": "617-219-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANCO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MA",
            "license": "59668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043053",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Christine Angelucci
• Allison Arrigg
• Nigel Courtney Austin
• Qingping Bai, LIC. AC, DIPL. OF OM
• Maria Baldino, MSOT, OTR/L
• Rachel Sara Barron, M.S., BCBA, LABA
• Caroline Robyn Baumal, MD
• Miranda Bell, PT
• Kelsey Bennett, OTR/L
• Nancy F Berkowitz, APRNBC

• Orthopaedic Surgery of the Spine Physician in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• Orthopaedic Surgery of the Spine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.