Active NPI
William M Banister, M.D.
- Neurological Surgery Physician
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- J1856
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202326901 | Medicaid | TX | |
| 030927001 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Procedures performed for Medicare patients
| Procedure | Number 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1856 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William M Bannister, MD, PA | Current | Accepting new patients | |
| Mark Malone, MD PA | Current | Accepting new patients | |
| Mark Malone MD PA | Current | 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
- 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.
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- NPI 1710522859
-
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- NPI 1982581427
-
- Surgical Technologist
- Amarillo, TX
- NPI 1063882330
-
- Ambulatory Surgical Clinic/Center
- Amarillo, TX
- NPI 1720572415
-
- Neurological Surgery Physician
- Rome, GA
- NPI 1144486564
Neurological Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.