Individual provider Active NPI

Dennis David O'Banion, M.D.

  • Surgery Physician
  • Texarkana, TX
National Provider Identifier
1457317539
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G6586 Issued in TX
Practice address
1801 Galleria Oaks Dr
Texarkana, TX 75503-4616
Phone
(903) 614-4200
Fax
(903) 614-5399
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 G6586 TX Primary

Addresses

Primary practice location

1801 Galleria Oaks Dr
Texarkana, TX 75503-4616

Mailing address

2900 St Michael Dr.
Ste 307
Texarkana, TX 75503
Phone (903) 614-5356

Other identifiers 9

IdentifierTypeStateIssuer
100082820AOtherOKOKLA MEDICAID
126280000OtherARQUALCHOICE
102179207MedicaidTX
81808OtherARARK BLUE CROSS
770069401OtherTXBREASTCARE
1557714OtherLALOUISIANA MEDICAID
81G983OtherTXTX BLUE CROSS
020022812OtherTXTRAVELERS MEDICARE
110840001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090123000395 TX Practitioner - General SurgeryPractitioner - Thoracic Surgery 4183698467 Practice locations: Texarkana, TX; Atlanta, TX

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1007 S William St
Atlanta, TX 75551-3245
Phone (903) 799-3000

1801 Galleria Oaks Dr
Texarkana, TX 75503-4616
Phone (903) 614-4200

2600 Saint Michael Dr
Texarkana, TX 75503-5220
Phone (903) 614-1000

2604 Saint Michael Dr
Suite 239
Texarkana, TX 75503-2378
Phone (903) 614-5355

Dennis O'Banion MD
2604 St. Michael Dr. Suite 239
Texarkana, TX 75503-2378

Hospital & facility affiliations

  • Encompass Health Home Health Home health agency, Texarkana, AR, CCN 047168
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue188
Removal of skin lesions27
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G6586TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis D Obanion MD PastSince Dec 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dobanion310876@christushealth.direct-ci.net

Organizations & group practices 1

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1457317539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 ST MICHAEL DR.",
            "address_2": "STE 307",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75503",
            "telephone_number": "903-614-5356",
            "fax_number": "469-282-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034616",
            "telephone_number": "903-614-4200",
            "fax_number": "903-614-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANION",
        "first_name": "DENNIS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-02-05",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G6586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLA MEDICAID",
            "identifier": "100082820A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "126280000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102179207",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUE CROSS",
            "identifier": "81808",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREASTCARE",
            "identifier": "770069401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA MEDICAID",
            "identifier": "1557714",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BLUE CROSS",
            "identifier": "81G983",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "020022812",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110840001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.