Individual provider Active NPI

Laurie A Bankston, M.D.

  • Family Medicine Physician
  • Xenia, OH
National Provider Identifier
1295790343
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35079398 Issued in OH
Practice address
50 N Progress Dr
Xenia, OH 45385-2666
Phone
(937) 562-2280
Fax
(937) 562-2282
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35079398 OH Primary

Addresses

Primary practice location

50 N Progress Dr
Xenia, OH 45385-2666

Mailing address

50 N Progress Dr
Xenia, OH 45385-2666
Phone (937) 562-2280

Other identifiers 1

IdentifierTypeStateIssuer
2276157MedicaidOH

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address lbankston161997@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Direct Messaging Address lbankston161997@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20041213001039 OH Practitioner - Family Practice 6507823374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

8638 Old Troy Pike
Suite a
Huber Heights, OH 45424-1051
Phone (937) 734-5100

Hospital & facility affiliations

  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079398OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Medical, Inc. Current Accepting new patients
Ohio Emergency Professionals Inc CurrentSince Feb 13, 2015 Accepting new patients
Mvhe Inc Family Medicine Current Accepting new patients
Mvhe Inc CurrentSince Oct 5, 2025 Accepting new patients
Mvhe Inc CurrentSince Oct 5, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University Family Physicians, Inc. Family Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Butler County, LTD Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

8638 Old Troy Pike
Ste A
Huber Heights, OH 45424
Phone (937) 237-1574

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

222 W Main St
Wilmington, OH 45177
Phone (937) 382-0918

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.

Hospital & facility affiliations 3

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1295790343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PROGRESS DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852666",
            "telephone_number": "937-562-2280",
            "fax_number": "937-562-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PROGRESS DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852666",
            "telephone_number": "937-562-2280",
            "fax_number": "937-562-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKSTON",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35079398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2276157",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbankston161997@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "50 N Progress Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453852666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "50 N Progress Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453852666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbankston161997@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "50 N Progress Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453852666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "50 N Progress Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453852666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.