Active NPI
Neil A Banga, M.D.
- Surgery Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 47112
- Practice address
- 1600 N Grand Ave
Suite 430
Pueblo, CO 81003-2700 - Phone
- (719) 545-8240
- NPI assigned
- Dec 5, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 47112 | CO | Primary |
Addresses
Primary practice location
1600 N Grand Ave
Suite 430
Pueblo, CO 81003-2700
Mailing address
1600 N Grand Ave Ste 430
Pueblo, CO 81003-2760
Phone (719) 545-8240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090304000793 | CO | Practitioner - General Surgery | 3779649496 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Poudre Valley Medical Group LLC
Practice addresses (Care Compare)
1600 N Grand Ave
Pueblo, CO 81003-2760
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
Hospital & facility affiliations
- Parkview Medical Center, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47112 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Surgery | Current | Accepting new patients |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Parkview Medical Center, Inc. | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045
405 W 15th St
Pueblo, CO 81003
Phone (719) 545-0663
1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760
1600 N Grand Ave
Ste 430
Pueblo, CO 81003
Phone (719) 545-8240
1600 N Grand Ave
Ste 540
Pueblo, CO 81003
Phone (719) 545-8240
Organizations & group practices 5
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.
-
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- Loveland, CO
- NPI 1366763260
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1104881507
Hospital & facility affiliations 7
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": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1306081237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N GRAND AVE STE 430",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032760",
"telephone_number": "719-545-8240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N GRAND AVE",
"address_2": "SUITE 430",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032700",
"telephone_number": "719-545-8240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANGA",
"first_name": "NEIL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-05",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "47112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.