Individual provider Active NPI

Ernesto E Banalagay, M.D.

  • Nephrology Physician
  • Portsmouth, OH
National Provider Identifier
1629135470
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35073970 Issued in OH
Practice address
1711 27TH St
Braunlin BLDG Ste 301
Portsmouth, OH 45662-2638
Phone
(740) 356-5393
Fax
(740) 356-7804
NPI assigned
Jan 2, 2007
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35073970 OH Primary

Addresses

Primary practice location

1711 27TH St
Braunlin BLDG Ste 301
Portsmouth, OH 45662-2638

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Other identifiers 1

IdentifierTypeStateIssuer
2062995MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ernesto.banalagay1@somc.medicity.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120215000935 OH Practitioner - Nephrology 9931120094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1711 27TH St
Portsmouth, OH 45662-2657

1711 27TH St
301 Braunlin BLDG.
Portsmouth, OH 45662-2669

1735 27TH St
Portsmouth, OH 45662-2679

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.85 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
74.86

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073970OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Dec 31, 2024 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Dec 31, 2024 Accepting new patients
Southern Ohio Nephrology, Inc. Nephrology CurrentSince Mar 18, 1998 Accepting new patients

Locations

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1711 27th St
Ste 30
Portsmouth, OH 45662
Phone (740) 354-5393

1711 27th St
Ste 301
Portsmouth, OH 45662
Phone (740) 354-5393

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Interoperability endpoints

  • Direct secure messaging: ernesto.banalagay@somc.medicity.net

Organizations & group practices 3

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.

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1629135470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-356-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 27TH ST",
            "address_2": "BRAUNLIN BLDG STE 301",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622638",
            "telephone_number": "740-356-5393",
            "fax_number": "740-356-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANALAGAY",
        "first_name": "ERNESTO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35073970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2062995",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ernesto.banalagay1@somc.medicity.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1711 27th St",
            "address_2": "Braunlin Bldg Ste 301",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.