Individual provider Active NPI

William M Banister, M.D.

  • Neurological Surgery Physician
  • Amarillo, TX
National Provider Identifier
1497785661
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
J1856 Issued in TX
Practice address
1901 Medi Park Dr Ste 2
Amarillo, TX 79106-2105
Phone
(806) 350-7918
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J1856 TX
Neurological Surgery Physician 207T00000X J1856 TX Primary

Addresses

Primary practice location

1901 Medi Park Dr Ste 2
Amarillo, TX 79106-2105

Mailing address

2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 244-4272

Other practice location 1

3101 Hobbs Rd Ste 202
Amarillo, TX 79109-3285
Phone (806) 279-1183

Other identifiers 2

IdentifierTypeStateIssuer
202326901MedicaidTX
030927001MedicaidTX

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
I20140303001041 TX Practitioner - Neurosurgery 1557405859 Reassigns benefits to 1 organization
Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Texas Tech University Health Science Center School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Malone MD PA 102 clinicians

Practice addresses (Care Compare)

1106 College St
Suite C
Bastrop, TX 78602-3948
Phone (512) 244-4272

1901 Medi Park Dr
Suite 2
Amarillo, TX 79106-2105
Phone (806) 350-7918

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J1856TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William M Bannister, MD, PA CurrentSince Apr 1, 2018 Accepting new patients
Mark Malone, MD PA CurrentSince May 13, 2019 Accepting new patients
Mark Malone MD PA CurrentSince May 13, 2019 Accepting new patients
Apc-Amarillo Surgical Operating Company, LLC Past Accepting new patients
Redmond Neurosurgery, LLC Neurological Surgery Past Accepting new patients

Locations

1901 Medi Park Dr
Ste 2
Amarillo, TX 79106
Phone (806) 350-7918

1901 Medi Park Dr
Ste 1
Amarillo, TX 79106
Phone (512) 341-2273

6000 S Mopac Expy
Ste 100
Austin, TX 78749

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

2000 S Mays St
Ste 201
Round Rock, TX 78664
Phone (512) 492-3743

Interoperability endpoints

  • Direct secure messaging: william.banister.1@24201.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1497785661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647580",
            "telephone_number": "512-244-4272",
            "fax_number": "806-350-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062105",
            "telephone_number": "806-350-7918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Hobbs Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791093285",
            "country_code": "US",
            "telephone_number": "806-279-1183",
            "fax_number": "806-350-7693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANISTER",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1856",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "J1856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202326901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030927001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.