Active NPI
Kaitlyn Jane Banks, P.A.
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4618
- Practice address
- 333 E 38TH St
New York, NY 10016-2772 - Phone
- (646) 501-7223
- NPI assigned
- Sep 27, 2016
- Last updated
- Oct 24, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 655094 | TX | |
| Physician Assistant | 363A00000X | 4618 | CT | Primary |
Addresses
Primary practice location
333 E 38TH St
New York, NY 10016-2772
Mailing address
104 N Bryan St
Borger, TX 79007-4010
Phone (806) 274-3627
Other practice location 1
104 N Bryan St
Borger, TX 79007-4010
Phone (806) 274-3627
Other practice location 2
326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbanks498557@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701
333 E 38TH St
New York, NY 10016-2772
Phone (646) 356-9400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 655094 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Family Medicine PA | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
333 E 38th St
New York, NY 10016
Phone (646) 501-7070
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
104 N Bryan St
Borger, TX 79007
Phone (806) 274-2986
Interoperability endpoints
- kbanks498557@nyumc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
dba Borger Medical Clinic
- Rural Health Clinic/Center
- Borger, TX
- NPI 1043358757
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1265981641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N BRYAN ST",
"city": "BORGER",
"state": "TX",
"postal_code": "790074010",
"telephone_number": "806-274-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E 38TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162772",
"telephone_number": "646-501-7223"
}
],
"practiceLocations": [
{
"address_1": "104 N Bryan St",
"address_purpose": "LOCATION",
"city": "Borger",
"state": "TX",
"postal_code": "790074010",
"country_code": "US",
"telephone_number": "806-274-3627",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "326 Washington St",
"address_purpose": "LOCATION",
"city": "Norwich",
"state": "CT",
"postal_code": "063602740",
"country_code": "US",
"telephone_number": "860-889-8331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANKS",
"first_name": "KAITLYN",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "655094",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "4618",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kbanks498557@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "333 E 38th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100162772",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.