Larry Louis Bans, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

13844 Issued in AZ

Practice address

2525 E Arizona Biltmore Cir
Suite C-236
Phoenix, AZ 85016-2146

Phone

(602) 426-9772

Fax

(602) 426-9775

NPI assigned

Feb 15, 2006

Last updated

Dec 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Prostate Solutions of Arizona, P.C.

  • Urology Physician
  • Phoenix, AZ
  • NPI 1376576348
  Authorized official Same address or phone
• Urology Associates, LTD

  • Urology Physician
  • Phoenix, AZ
  • NPI 1952334690
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1407820517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CAMELBACK RD",
            "address_2": "SUITE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121668",
            "telephone_number": "602-748-1100",
            "fax_number": "602-748-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E ARIZONA BILTMORE CIR",
            "address_2": "SUITE C-236",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162146",
            "telephone_number": "602-426-9772",
            "fax_number": "602-426-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANS",
        "first_name": "LARRY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "13844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4060579",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2975980",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01373999",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Banner Urgent Care Services, LLC
• Banner--University Medical Center Phoenix Campus Hospitalist Services
• Banner-University Medical Center PHX Campus Multispecialty Services
• Banner-University Medical Group
• Sarah SHB Bannister, D.O.
• Stephen F Bansberg, M.D.
• Wesley Bantilan, RBT
• Emmanuel Enoch Banto
• Edian Banuelos
• Jason Banuelos, PA

• Urology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.