Individual provider Active NPI

Cory Banaschak

  • Surgery Physician
  • Columbus, IN
National Provider Identifier
1306377874
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02006100A Issued in IN
Practice address
2325 18TH St Ste 220
Columbus, IN 47201-5389
Phone
(812) 376-5640
NPI assigned
Mar 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 02006100A IN Primary

Addresses

Primary practice location

2325 18TH St Ste 220
Columbus, IN 47201-5389

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbanaschak40955@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220516001932 IN Practitioner - General Surgery 5294004966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Regional Health Physicians LLCGroup PAC ID 1052612314, 216 clinicians
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

2325 18TH St
Suite 220
Columbus, IN 47201-5389
Phone (812) 376-5640

301 Henry St
North Vernon, IN 47265-1030
Phone (812) 352-4427

Hospital & facility affiliations

  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Ascension St Vincent Jennings Hospital, North Vernon, IN, CCN 151303

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue148

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jun 30, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Jan 1, 2023 Accepting new patients
Southern Indiana Surgery Inc Surgery CurrentSince Jun 1, 2022 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Jan 1, 2023 Accepting new patients
St. Vincent Medical Group, Inc. Surgery CurrentSince Jun 30, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC Past Accepting new patients
Major Hospital Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients

Locations

2325 18th St
Ste 220
Columbus, IN 47201
Phone (812) 372-2245

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

3015 10th St
Columbus, IN 47201
Phone (812) 372-8426

2109 Doctors Park Dr
Columbus, IN 47203
Phone (812) 348-4080

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8414 Naab Rd
Ste 215
Indianapolis, IN 46260

301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200

Interoperability endpoints

  • Direct secure messaging: cbanaschak40955@edirect.crh.org
  • Direct secure messaging: cory.banaschak.2@7598.direct.athenahealth.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70317

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 2

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": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1306377874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 18TH ST STE 220",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015389",
            "telephone_number": "812-376-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANASCHAK",
        "first_name": "CORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02006100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbanaschak40955@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "2325 18th St Ste 220",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.